Journal: | Revista médica del Hospital General de México |
Database: | PERIÓDICA |
System number: | 000439502 |
ISSN: | 0185-1063 |
Authors: | Sordo Mejía, Ricardo1 Villanueva Herrero, Juan A1 González Macedo, Edgar2 Sandoval Martínez, Marco D1 Núñez García, Edgar2 Jiménez Bobadilla, Billy1 |
Institutions: | 1Hospital General de México, Servicio de Coloproctología, Ciudad de México. México 2Centro Médico ABC, Ciudad de México. México |
Year: | 2019 |
Season: | Jul-Sep |
Volumen: | 82 |
Number: | 3 |
Pages: | 147-150 |
Country: | México |
Language: | Inglés |
Document type: | Artículo |
Approach: | Analítico, descriptivo |
English abstract | The most frequent tumor of the anal region is epidermoid carcinoma; however, other types of tumors such as melanomas, sarcomas, and lymphomas can also develop. Most of them present similar symptoms although diagnosis and prognosis might be radically different. Objective: The objective of this study was to report the clinical and histopathological characteristics of a group of patients diagnosed with non-epidermoid anal neoplasm in a third-level hospital. Materials and Methods: Eight patients with non-epidermoid anal neoplastic biopsy samples were evaluated from March 2013 to January 2017. Demographic data and histopathological results were obtained from the clinical records. Results: Mean age of the patients was 48.9 years (23-84); 37.5% of women and 62.5% of men. Patients presented with rectal bleeding in 25%, anal pain 87.5%, anal tumor 75%, and fever 25%. Among the patients, 37.5% presented with melanoma and 62.5% lymphoma. Regarding patients with lymphoma, 60% had plasmablastic lymphoma and 40% non-Hodgkin’s lymphoma. The diagnostic time was 4 months on average (1-8 months) and 25% of the patients had been previously misdiagnosed with hemorrhoidal disease. Conclusion: Non-epidermoid anal neoplasm cases are infrequent and its accurate diagnosis can take months, therefore, changing prognosis. Key Words: Melanoma. Plasmablastic lymphoma. Anal neoplasm abdominoperineal resection. Anal pain. Colonoscopy. Endoanal ultrasound |
Disciplines: | Medicina |
Keyword: | Gastroenterología, Oncología, Tumores, Ano, Melanoma, Linfoma plasmablástico, Dolor anal, Colonoscopía, Ultrasonido endoanal, Resección quirúrgica |
Keyword: | Gastroenterology, Oncology, Tumors, Anus, Melanoma, Plasmablastic lymphoma, Anal pain, Colonoscopy, Endoanal ultrasound, Surgical resection |
Full text: | https://www.hospitalgeneral.mx/frame_esp.php?id=34 |