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Background 1. Incidence Anal canal cancer is a relatively rare tumor, representing approximately 1. It is approximately 20 to 30 times rarer than colon cancer, but its annual incidence is increasing, reaching up to cases, with a female predominance 2. There hpv bone cancer an important geographic variation regarding its incidence, as well as histopathological type. The mainstay of the treatment is represented by chemo-radiotherapy, radical surgery being reserved to residual tumor or recurrences.
Table 1; AJCC staging for anal cancer 2. Histopathology Depending on the lining epithelium, anal canal is divided into three regions: colorectal zone: located proximally and containg columnar epithelium; transitional zone: spread over a distance that varies between 0 and 12 mm that hpv bone cancer hpv bone cancer pseudostratified type of epithelium resembling the urothelial one.
A transformation zone is unanimously accepted in uterine cancer.
Etiologia cancerului de col uterin
This region of metaplasia is extremely susceptible to HPV action 4 ; squamous zone: hpv bone cancer a non-keratinized epithelium, without hair follicles. Leiomyosarcomas, lymphomas and small cell carcinomas similar in terms of evolution and prognosis to lung small cell carcinomasundifferentiated carcinoma or anal GIST - only 17 cases described in literature up to 7 - have also been reported. Concerning anal margin neoplasia, these are represented by: Bowen disease in situ squamous-cell carcinoma ; invasive squamous-cell carcinoma; Paget disease; basal cell carcinoma: an extremely rare tumor, approximately 20 cases having been reported in 20 years 28that is of good prognostic.
The treatment consists in ample local resection or hpv bone cancer amputation in case of sphincter invasion.
6 virusuri care pot declanșa cancerul
TNM staging Anal cancer staging is based on tumor dimension, lymph node status and presence or absence of distance metastases. The risk of lymph node metastases is correlated with tumor size, invasion and grading. Risk factors Benign perianal pathology - perianal fissures and fistulas determine a chronic local inflammation that can lead to genetic alterations and have been incriminated hpv bone cancer being etiologic factors.
However, recent studies did not show a significant correlation between this pathology and the development of anal carcinoma 8. Sexual activity - according to a study lead by Daling, patients with anal cancer had genital papillomatosis, type II HSV and Chlamydia trachomatis infections hpv bone cancer their medical history.
Cancerul de canal anal - aspecte legate de diagnostic și tratament
In the case of male patients, homosexuality, bisexuality, history of genital papilomatosis or gonorrhea have been associated to a higher risk of hpv bone cancer cancer hpv bone cancer. Another study, published inadds to the risk factors, for females: history of gonorrhea, uterine cervix dysplasia, more than 10 sexual partners, anal sexual intercourse; for male patients: syphilis is another risk factor HPV infection - it is the widest spread sexually transmitted infection in Europe Anal HPV infection can be clinically inapparent or it may manifest as condyloma.
Of all HPV subtypes, subtype 16 is the most hpv bone cancer incriminated as carcinogen. Viral transmission is hpv bone cancer influenced by the use of hpv bone cancer as it is localized at the base of the penis and scrotum.
Cigarette smoking - a study conducted in the early s highlighted a relative risk of 1. Carcinogenesis associated to cigarette smoking can be hpv meaning in arabic to an anti-androgenic effect of tobacco.
Head and Neck Cancer: Management and Reconstruction
Hpv bone cancer infection - some studies showed an increase in anal canal cancer in seropositive patients. The severity and length of HPV infection are inversely proportional correlated to CD4 lymphocyte number. Immunocompromised patients, either due to HIV infection or to post-transplantation status or chemotherapy, have an increased risk of HPV infection and progression to squamous cell carcinoma Anatomy Surgical anal canal spreads from ano-rectal ring 2 cm above the dentate line to the external anal orifice.
Teste de autoevaluare Etiologia cancerului de col uterin Se știe că factorii de risc pentru cancerul de col uterin sunt strâns legați de infecția persistentă cu tipuri de HPV cu risc oncogen crescut [Walboomers și alții ; Li și alții ]. Infecția cu această familie omniprezentă de viruși nu este unica cauză a apariției cancerului de col uterin: efectele sale trebuie luate în considerare în contextul factorilor de risc care predispun hpv bone cancer persistența și oncogeneza acestuia. Figura 3. Studiile ce implică testarea moleculară a ţesutului hpv bone cancer au arătat că marea majoritate a carcinoamelor de col uterin au integrat ADN-ul viral în genomul gazdă, ceea ce este esențial pentru apariția carcinomului.
Anal cancer must be distinguished from anal margin neoplasia that originates from the skin that presents perianal hair. Some authors consider wart foot plantar 5 cm distance from the external anal orifice as the lateral limit The correct classification of perianal neoplasia into the two mentioned categories is extremely important as those of anal margin are of better prognosis.
Altogether, an erroneous classification could overestimate the role of radio-chemotherapy Pectinate line represents an extremely important landmark for the vascularization and lymph node drainage.
Thus, above this line, venous drainage is to the portal circulation, by way of inferior mesenteric vein and below venous blood drains into systemic circulation through pudendal and hypogastric veins.
Above the pectinate line lymphatics drain into the inferior mesenteric, but also to hypogastric and obturatory lymph nodes, while below pectinate line-especially to hpv bone cancer lymph nodes, but also to femoral ones Due to the resemblance to benign perianal pathology, the diagnosis is too often delayed.
For bone-marrow tumor growth neoplasiachemotherapy or radiation therapy may be prescribed. Pentru maduva osoasa cresterea tumorii neoplaziechimioterapie sau radioterapie poate fi prescris.
Clinical examination consists in the inspection of perianal skin, anal margin, rectal examination and anoscopy and should indicate tumor localization above or below the pectinate line or its pertaining to anal margin. Bilateral inguinal region palpation is mandatory due to the lymphatic drainage to those hpv bone cancer groups.
Echo-endoscopy points our eventual loco-regional lymphadenopathies and gynecologic examination can indicate the coexistence of a uterine cervix lesion. The diagnostic of certainty is based on histopathologic examination.
Anal canal cancer diagnosis and treatment aspects
Bioptic samples can be easily obtained with the patient in gynecological position; however, colonoscopy with exploration up to the cecum is obligatory to exclude eventual synchronous lesions.
As with hpv bone cancer paraclinical investigations, a CT examination of the thorax, abdomen and pelvis or an MRI is recommended to point out possible secondary tumors. Untill the s, standard treatment consisted in abdominoperineal rectal amputation.
Într-adevăr, în unele situații, stilul de viață, cum ar fi fumatul, poate crește riscul apariției cancerului. Factorii ereditari joacă uneori un rol, cum ar fi cancerul de sân. Dar sunt și cazuri în rare cancerul poate fi declanșat de un virus.
For patients having small lesions, a large local excision has been proposed, accompanied however by disappointing results, excepting patients with hpv bone cancer smaller than 2 cm anal margin cancer Abdominoperineal rectal amputation is the standard salvage therapy for patients who develop local recurrences.
Tumor invasion into neighboring organs is not a contraindication of resection, provided a R0 resection is achieved. This fact has lead to the use of rotated or advanced musculocutaneous flaps to ameliorate the healing process. Provided the pelvic disease is controlled, isolated liver or lung metastases have indications for surgical resection.
Traducere "Neoplasia" în română
Due to significant morbidity and the relatively low impact on survival, prophylactic inguinal lymphadenectomy is not hpv bone cancer Inguinal lymphadenectomy is indicated for patients with voluminous lymphatic blocks or to those with an obvious lymphadenopathy after chemo-radiotherapy Some authors recommend for synchronous lymphadenopathies inguinal lymphadenectomy with chemo- and radiotherapy following the healing of the wound.
For metachronous lymphadenopathies, the treatment consists of lymphadenectomy followed by radiotherapy. The complications of the intervention consist in: wound hpv bone cancer, hematomas, seromas, lymphoceles and lymphedema. Cancer statistics, CA Cancer J Clin ; 2.
CA Cancer J Clin ; International Agency for Research on Cancer. Cancer incidence in five continents. Springer Philadelphia: Lippincott Raven;