Zusammenfassung
Bei lang anhaltender, ausgeprägter Stuhlinkontinenz muss immer auch an einen Tumor gedacht werden. Auch wenn beispielsweise rund 90% der Malignome des Analtrakts Karzinome sind, sollte weiter diagnostisch differenziert werden, da die therapeutischen Konsequenzen von Fall zu Fall erheblich voneinander abweichen können. In unserem Fall handelt es sich um ein in dieser anatomischen Region sehr seltenes, spezielles Non-Hodgkin-Lymphom, das prognostisch als infaust einzustufen ist.
Abstract
Symptoms of long-lasting extreme fecal incontinence should always give rise to the suspicion of a tumor. Even when approximately 90% of malignant growths of the anal tract are carcinomas, a differential diagnosis should still be pursued because the therapeutical consequences can be substantially different and case-dependent. The case described here concerns a special form of non-Hodgkin lymphoma which is rare for this anatomic region and the prognosis is more likely to be classified as incurable.
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Rennefeld, O., Rohrbach, H., Helmberger, T. et al. 88-jähriger Patient mit Stuhlinkontinenz. Gastroenterologe 4, 130–134 (2009). https://doi.org/10.1007/s11377-009-0282-6
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DOI: https://doi.org/10.1007/s11377-009-0282-6