PDF(Pubmed)
Abstract：
This case illustrates the surgical management of a perianal mass, initially misdiagnosed as condyloma acuminatum in a male patient in his late 50s, later identified as invasive squamous cell carcinoma following excision. Despite extensive preoperative evaluation, the lesion\'s malignancy was confirmed through histopathology. The significant, fungating mass required a multidisciplinary approach, culminating in a pT3 staging and additional wide excision with inferior gluteal artery perforator flap reconstruction. This case underscores the critical importance of surgical diligence and adaptability, highlighting the role of comprehensive surgery in both diagnosis and treatment of complex perianal malignancies, and reaffirms the value of a multidisciplinary team in achieving favourable outcomes.
摘要：
这个病例说明了肛周肿块的手术治疗,一名50多岁的男性患者最初被误诊为尖锐湿疣，后来在切除后被确定为浸润性鳞状细胞癌。尽管进行了广泛的术前评估，病变的恶性通过组织病理学证实。意义重大的,支持群众需要多学科的方法，最终进行pT3分期和额外的广泛切除，并进行臀下动脉穿支皮瓣重建。这个案例强调了手术勤奋和适应性的关键重要性，强调综合手术在复杂肛周恶性肿瘤的诊断和治疗中的作用，并重申多学科小组在取得有利成果方面的价值。
