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判定此症治疗方针时,主要考虑①病变大小;②存庄部位;③有无浸润癌,还要考虑患者的一般状况、年龄、性别等因素。博温氏病(Bowen’s disease)是皮肤或粘膜的表皮内癌,是一来自角质层的鳞状上皮癌。自1939年Vickers报告肛门博温氏病以来,欧美报告不超出100例,是外科医师在平时诊治工作中罕见的肿瘤。关于日本的肛门博温氏病发生率,在博温氏病62例中池田等报告的有2例,第14届大肠癌研究会征询调查肛管癌1216例中有2例。从肛管组织发生学特征看,所产生的肿瘤多种多样,肛周皮肤也可能发生所有皮肤肿瘤,包括博温氏病及乳房外的佩吉特氏(Paget)病,粘膜白斑病等所谓癌前期病变以及鳞状上皮癌、恶性黑
When determining the treatment strategy of this disease, we mainly consider 1 the size of the lesion; 2 sites of storage; 3 whether there is invasive cancer, but also consider the general condition of the patient, age, gender and other factors. Bowen’s disease is an intraepidermal carcinoma of the skin or mucous membrane. It is a squamous cell carcinoma from the stratum corneum. Since Vickers reported anal Bowen’s disease in 1939, Europe and the United States reported no more than 100 cases, which is a rare tumor seen by surgeons in their daily work. Regarding the incidence of anal Bowen disease in Japan, there were 2 cases reported by Ikeda et al. in 62 cases of Bowen’s disease, and the 14th colorectal cancer research institute investigated 2 out of 1216 cases of anal canal cancer. From the histogenetic characteristics of the anal canal, the resulting tumors are diverse, and all perianal skin tumors may also occur, including Bowen’s disease and extramammary Paget’s disease, leukoplakia, etc. Precancerous lesions and squamous cell carcinoma, malignant black