| A Clinical Study of
Anorectal Cancer |
| 항문 및 직장암의 임상적 고찰 |
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장가중; 손수상; 강중신 |
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| Abstract |
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clinical and statistical study
was made on 73 cases of anorectal cancer patients admitted to I he Department of Surgery; Dong-San Mcdical Center; Keimyung University from January 1978 to October; 1982.
The results were as follows;
V) In anorectal cancer; the ratio between male and female was 1 : 1.1 and age incidence was most prevalent in the 5th decade; comprising 30.1% of cases.
2) The duration of symtoms prior to admission was 6 months in 61.1%.
3) The frequent symtoms and signs were bloody stool; abdominal pain; tenesmus and weight loss in decreasing order.
4) Location of tumor was most frequent at the midrectum area in 46.5%.
5) Diagnostic procedure was made by rectal examination; sigmoidoscopy; barium enema and colonofiberscopy.
6) The treatments prior to this admission were mainly for the benign diseases in 19.2% and hemorroids were the .most; frequent diagnosis.
7) Resectability was 86.5% in rectal cancers and 66.6% in anal cancers.
8) The most common histological type of rectal cancer was adenocarcinoma^. 1%) and squamous ceil ca. in all the anal lesions.
SO The distant metastsis were found in 27.4% and pelvic organs were the most common sites.
10) Postoperative complications developed in 41.1% of cases and dysuria was the most common (15.7%) and operative mortality was 1.4%.
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| Key Words:
대장암, 항문, 직장암, 문합술 |
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