<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2021000100083</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de pacientes diagnosticados de carcinoma epidermoide de canal anal. Cienfuegos, 2017-2019]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of patients diagnosed with squamous cell carcinoma of the anal canal. Cienfuegos, 2017-2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos Toledo]]></surname>
<given-names><![CDATA[Yeidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estepa Pérez]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Feliú Rosa]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santana Pedraza]]></surname>
<given-names><![CDATA[Tahiluma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Conde]]></surname>
<given-names><![CDATA[Daniel Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos Cienfuegos]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>1</numero>
<fpage>83</fpage>
<lpage>93</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2021000100083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2021000100083&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2021000100083&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  el carcinoma epidermoide de canal anal constituye un problema sanitario de gran magnitud, debido a su elevada morbimortalidad. El riesgo de padecer esta enfermedad difiere entre los individuos según sus modos y estilos de vida.  Objetivo:  caracterizar a los pacientes diagnosticados con carcinoma epidermoide de canal anal en la provincia de Cienfuegos en el período del primero de enero de 2017 al treinta y uno de diciembre de 2019.  Métodos:  estudio descriptivo y prospectivo sobre pacientes diagnosticados con carcinoma epidermoide de canal anal. Los datos se obtuvieron de las historias clínicas y las actas del comité de fallecidos. Se analizaron las variables: edad, sexo, color de la piel, enfermedades asociadas, etapas clínicas, forma de presentación, clasificación de la cirugía, tipo de tratamiento, técnica quirúrgica empleada, tratamiento oncológico, entre otras. Los datos obtenidos fueron procesados mediante el programa estadístico SPSS versión 21, los resultados se presentaron en tablas mediante números absolutos y porcentaje.  Resultados:  predominaron pacientes en edades entre 50 y 70 años, femeninas; la rectorragia y el dolor anal fueron los síntomas fundamentales, acompañados o no de cambios en el hábito intestinal, pujo y tenesmo; el virus del papiloma humano fue el antecedente patológico personal más observado; la colostomía fue la técnica quirúrgica más empleada.  Conclusiones:  el carcinoma epidermoide de canal anal constituye un problema de salud, asociado a vida sexual desprotegida y enfermedades de transmisión sexual. El diagnóstico temprano permite un mejor estudio y estadiaje y por consiguiente el uso de técnicas quirúrgicas más conservadoras.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  squamous cell carcinoma of the anal canal constitutes a health problem of great magnitude, due to its high morbidity and mortality. The risk of suffering from this disease differs between individuals according to their modes and lifestyles.  Objective:  to characterize the patients diagnosed with squamous cell carcinoma of the anal canal in the Cienfuegos province from January the 1st, 2017 to December 31st, 2019.  Methods:  descriptive and prospective study on patients diagnosed with squamous cell carcinoma of the anal canal. The data were obtained from the medical records and the minutes of the deceased committee. The variables were analyzed: age, sex, skin color, associated diseases, clinical stages, form of presentation, classification of surgery, type of treatment, surgical technique used, cancer treatment, among others. The data obtained were processed using the SPSS version 21 statistical program; the results were showed in tables using absolute numbers and percentage.  Results:  female patients between 50 and 70 years old predominated; rectal bleeding and anal pain were the fundamental symptoms, accompanied or not by changes in bowel habit, straining and tenesmus; human papillomavirus was the most observed personal pathological history; the colostomy was the most widely used surgical technique.  Conclusions:  squamous cell carcinoma of the anal canal constitutes a health problem, associated with unprotected sexual life and sexually transmitted diseases; early diagnosis allows a better study and staging and therefore the use of more conservative surgical techniques.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[carcinoma mucoepidermoide]]></kwd>
<kwd lng="es"><![CDATA[canal anal]]></kwd>
<kwd lng="es"><![CDATA[procedimientos quirúrgicos]]></kwd>
<kwd lng="en"><![CDATA[carcinoma]]></kwd>
<kwd lng="en"><![CDATA[mucoepidermoid]]></kwd>
<kwd lng="en"><![CDATA[canal anal]]></kwd>
<kwd lng="en"><![CDATA[surgical procedures]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Weiser]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Posner]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adenocarcinoma of the colon and rectum]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Yoe]]></surname>
<given-names><![CDATA[Ch]]></given-names>
</name>
<name>
<surname><![CDATA[McFadden]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Pemberton]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Petter]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mathews]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Saltz. Shakelfords Surgery Alimentary Tract]]></source>
<year>2012</year>
<page-range>2051-74</page-range><publisher-loc><![CDATA[Ottawa ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier Health Sciences]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González Gutiérrez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Estepa Pérez]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Feliú Rosa]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Santana Pedraza]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Estepa Ramos]]></surname>
<given-names><![CDATA[JE.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización de pacientes operados de cáncer colorrectal. Cienfuegos, 2014 a 2016]]></article-title>
<source><![CDATA[Medisur]]></source>
<year>2018</year>
<volume>16</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Machado Pineda]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Fernández]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[González Tuero]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Ramírez]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relación diagnóstico y supervivencia en el cáncer de colon y recto]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2011</year>
<volume>15</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<collab>National Cancer Institute</collab>
<source><![CDATA[Colon Cancer Treatment]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Md ]]></publisher-loc>
<publisher-name><![CDATA[National Cancer Institute]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud Pública</collab>
<source><![CDATA[Anuario estadístico de salud 2018]]></source>
<year>2019</year>
<publisher-loc><![CDATA[MINSAP ]]></publisher-loc>
<publisher-name><![CDATA[Dirección de Registros Médicos y Estadísticas de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reyes Argudín]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Beltrán Pérez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro Garvey]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Suárez Rivera]]></surname>
<given-names><![CDATA[JJ.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Carcinoma epidermoide del margen anal contra calidad de vida]]></article-title>
<source><![CDATA[Rev Cubana Cir]]></source>
<year>2014</year>
<volume>53</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<collab>Galiano de Sánchez.María T</collab>
<article-title xml:lang=""><![CDATA[Cáncer colorrectal]]></article-title>
<source><![CDATA[Rev Colomb Gastroenterol]]></source>
<year>2017</year>
<volume>20</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>43-53</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chai]]></surname>
<given-names><![CDATA[CY]]></given-names>
</name>
<name>
<surname><![CDATA[Cao]]></surname>
<given-names><![CDATA[HT]]></given-names>
</name>
<name>
<surname><![CDATA[Awad]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Massarweh]]></surname>
<given-names><![CDATA[NN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo del carcinoma de células escamosas del canal anal en estadio I]]></article-title>
<source><![CDATA[JAMA Surg]]></source>
<year>2018</year>
<volume>153</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>209-15</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bendardaf]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Buhmeida]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hilska]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Laato]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Syrjänen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Syrjänen]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[VEGF-1 expression in colorectal cancer is associated with disease localization, stage, and long-term disease-specific survival]]></article-title>
<source><![CDATA[Anticancer Res]]></source>
<year>2018</year>
<volume>28</volume>
<numero>6B</numero>
<issue>6B</issue>
<page-range>3865-70</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ñique Carbajal]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez Renteria]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Lettiero]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Wernhoff]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Domínguez Valentin]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización molecular de cáncer colorrectal hereditario en Perú]]></article-title>
<source><![CDATA[Rev Gastroenterol Perú]]></source>
<year>2016</year>
<volume>34</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>5</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castells]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Piqué]]></surname>
<given-names><![CDATA[JM.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tumores intestinales]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Farreras]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Rozman]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Medicina interna]]></source>
<year>2016</year>
<edition>16a</edition>
<page-range>347-91</page-range><publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Harcourt]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cicuéndez Ávila]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Santos Sancho]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[García Rosario]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Méndez Montesino]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
</person-group>
<source><![CDATA[Epidemiología del cáncer de colon y recto en hospitales públicos de la comunidad autónoma de Madrid]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Complutense de Madrid]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cruz Bustillo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Genética molecular del cáncer colorrectal]]></article-title>
<source><![CDATA[Rev Esp Enferm Dig]]></source>
<year>2016</year>
<volume>96</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>48-59</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González Flores]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Cáncer de colon y recto]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Sociedad Española de Oncología Médica]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mandado Pérez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Quintero Cayola]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Leonar Feliu]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Domínguez Álvarez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Amores]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[Infiltración de sigmoides de un carcinoma epidermoide de canal anal asociado a virus del papiloma humano (PVH) tipo 16]]></source>
<year>2018</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[UNINET]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Misa Jalda]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez Láuz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Cáncer de ano]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Uruguay ]]></publisher-loc>
<publisher-name><![CDATA[Facultad de Medicina de la Universidad de la República]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<collab>Becerra del Carpio A.Quispicondor Ramón Y.Bardales HR</collab>
<article-title xml:lang=""><![CDATA[Carcinoma escamoso de recto y fístula rectovaginal traumática Relación o coincidencia? Reporte de un caso]]></article-title>
<source><![CDATA[Rev Gastroenterol Perú]]></source>
<year>2006</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>89-92</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferrer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Velasco Albende]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Belda Lozano]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Berenguel Ibáñez]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Reina]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adenocarcinoma del canal anal Revisión de conjunto]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2013</year>
<volume>91</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>281-6</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="book">
<collab>Instituto Nacional de Enfermedades Neoplásicas</collab>
<source><![CDATA[Guía de Práctica Clínica Carcinoma Anal]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Lima ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vázquez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Collado]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Llorente]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Guías de diagnóstico y tratamiento en Oncología. Canal anal]]></source>
<year>2010</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[MINSAP]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
