[肛门癌门诊与住院治疗的相互作用]。

Chirurgie (Heidelberg, Germany) Pub Date : 2025-09-01 Epub Date: 2025-06-27 DOI:10.1007/s00104-025-02337-5
Stefan Fritz, Arne Mathias Ruder, Dieter Bussen, Christoph Reißfelder, Julia Hardt
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引用次数: 0

摘要

背景:肛门癌是一种罕见但越来越常见的疾病。治疗主要包括手术和/或联合放疗/化疗。在晚期病例中,可能需要广泛的内脏切除。在大多数情况下,治疗是跨学科的,包括门诊和住院治疗阶段。目的:这项工作的目的是阐明在诊断和治疗肛门癌的最重要的步骤,重点是门诊和住院病人护理之间的相互作用。材料和方法:为了确定本文的证据基础,我们在PubMed数据库中进行了文献检索。此外,还包括了现行的准则和建议。结果:门诊机构往往负责初步诊断和随访护理,而住院机构负责实施复杂的治疗措施。这种相互作用带来了挑战,特别是在协调治疗过程、沟通相关信息和遵守时间表方面。转诊或后续护理的延误可导致预后恶化。结论:多模式综合治疗是肛管癌成功治疗的关键。门诊和住院护理之间的跨部门合作起着核心作用。这是确保在维持生活质量的同时获得最佳肿瘤治疗的唯一方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

[Anal cancer-Interaction between outpatient and inpatient treatment].

[Anal cancer-Interaction between outpatient and inpatient treatment].

[Anal cancer-Interaction between outpatient and inpatient treatment].

[Anal cancer-Interaction between outpatient and inpatient treatment].

Background: Anal cancer is a rare but increasingly more frequently diagnosed entity. The treatment mostly consists of a combination of surgery and/or combined radiotherapy/chemotherapy. In advanced cases, extensive visceral resection may be necessary. In most cases, treatment is interdisciplinary and includes both outpatient and inpatient treatment phases.

Objective: The aim of this work is to shed light on the most important steps in the diagnostics and treatment of anal cancer with a focus on the interaction between outpatient and inpatient patient care.

Material and methods: To determine the evidence base for this article, a literature search was conducted in the PubMed database. In addition, the current guidelines and recommendations were included.

Results: Outpatient facilities are often responsible for initial diagnostics and follow-up care, while inpatient facilities are responsible for implementing the complex treatment measures. This interaction presents challenges, particularly in coordinating treatment processes, communicating relevant information and adhering to time schedules. Delays in the referral or follow-up care can lead to a worsening of the prognosis.

Conclusion: Multimodal and interdisciplinary treatment is essential for the successful treatment of anal cancer. Cross-sectoral cooperation between outpatient and inpatient care plays a central role. This is the only way to ensure the best possible oncological treatment while maintaining the quality of life.

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