Syphilitic proctitis mimicking rectal cancer:A case report  

作　　者：Wen-Tao Zhao, Jing Liu, Yu-Ying Li 

出　　处：《World Journal of Gastrointestinal Pathophysiology》2010年第3期112-114,共3页世界胃肠病理生理学杂志（英文版）（电子版）

摘　　要：Syphilitic proctitis is a rare disease. It usually presents as proctitis, ulcer and neoplasm but lacks pathognomonic clinical symptoms. It is, therefore, difficult to diagnose and is occasionally treated inappropriately. We report the case of a 51-year-old man who had a hard, ulcerated mass, which occupied the circumference of the rectal wall and which mimicked a rectal tumor. Fortu nately, positive finding from routine toluidine red un heated serum test and treponema pallidum particle ag glutination tests made us reevaluate the patient and led us to suspect syphilitic proctitis. This diagnosis was finally confirmed after successful penicillin G benzathine therapy which made surgery unnecessary.Syphilitic proctitis is a rare disease. It usually presents as proctitis, ulcer and neoplasm but lacks pathognomonic clinical symptoms. It is, therefore, difficult to diagnose and is occasionally treated inappropriately. We report the case of a 51-year-old man who had a hard, ulcerated mass, which occupied the circumference of the rectal wall and which mimicked a rectal tumor. Fortunately, positive finding from routine toluidine red unheated serum test and treponema pallidum particle agglutination tests made us reevaluate the patient and led us to suspect syphilitic proctitis. This diagnosis was finally confirmed after successful penicillin G benzathine therapy which made surgery unnecessary.

关 键 词：SYPHILIS RECTUM PROCTITIS RECTAL cancer TREPONEMA PALLIDUM 

分 类 号：R735.3[医药卫生—肿瘤]