Anal tumors with infrequent histology: Analysis of a series of cases and literature review



Document title: Anal tumors with infrequent histology: Analysis of a series of cases and literature review
Journal: Revista médica del Hospital General de México
Database: PERIÓDICA
System number: 000439502
ISSN: 0185-1063
Authors: 1
1
2
1
2
1
Institutions: 1Hospital General de México, Servicio de Coloproctología, Ciudad de México. México
2Centro Médico ABC, Ciudad de México. México
Year:
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
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