항문 및 직장암의 임상적 고찰

Abstract

A clinical and statistical study was made on 73 cases of anorectal cancer patients admitted to the Department of surgery. Dong-San Medical Center, Keimyung University from January 1978 to October, 1982. The results were as follows; 1) 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, sigmidoscopy, 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) Rescetability was 86.5% in rectal cancers and 66.6% in anal cancers. 8) The most common histological type of rectal cancer was adenocarcinoma(96.1%) and squamous cell ca. in all the anal lesions. 9) The distant metastsis were found in 27.4% and pelvic organs were the most common sites. 10) Postoperative complications developed in 41.4% of cases and dysuria was the most common (15.7%) and operative mortality was 1.4%.