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Current concepts of local excision of epidermoid carcinoma of the anus

  • Published:
Diseases of the Colon & Rectum

Summary and Conclusions

Knowledge of epidermoid carcinoma of the anal canal and perianal area is incomplete. The rarity of the disease, differences of opinion and variability of criteria used in investigations cause confusion.

Investigation of the nature of epidermoid carcinoma and the efficacy of various methods of therapy is not complete unless pertinent surgical anatomy is considered.

The results after local excisionvs. those after abdominoperineal resection in several large reported series are compared.

Eight patients treated by local excision are reported.

A practical outline for investigation is recommended.

Early diagnosis is the most important factor for success of any method of therapy. Exfoliative cytology as a technic for early diagnosis was investigated in six patients and, owing to the small sample, the need for further study is suggested.

Wide local excision of some epidermoid carcinomas of the anal canal and perianal skin is safe and adequate therapy. Opinions differ regarding the selection of patients for this method of treatment.

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Authors and Affiliations

  1. From the Department of General Surgery, Good Samaritan Hospital, Portland, Oregon

    Lawrence S. Eby M.D. & Eugene S. Sullivan M.D.

Authors
  1. Lawrence S. Eby M.D.
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  2. Eugene S. Sullivan M.D.
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Read at the meeting of the Northwest Proctologic Society, Parksville, Vancouver Island, British Columbia, August 25 to 28, 1968.

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Eby, L.S., Sullivan, E.S. Current concepts of local excision of epidermoid carcinoma of the anus. Dis Colon Rectum 12, 332–337 (1969). https://doi.org/10.1007/BF02617742

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  • DOI: https://doi.org/10.1007/BF02617742

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