Golfo E B, Galindo L M
Department of Pathology, George Washington University Medical Center, Washington, D.C. 20037.
Acta Cytol. 1990 Jul-Aug;34(4):570-2.
A 63-year-old Hispanic man from Peru who recently had immigrated to the United States presented with progressive weakness, weight loss, recurrent abdominal pain and passing bright red blood per rectum. Rectal carcinoma was suspected. Biopsies of two lesions in the sigmoid colon showed granuloma inguinale (donovanosis). A computed tomographic scan of the abdomen revealed a large presacral mass. A radiographically guided fine needle aspiration (FNA) of the presacral mass showed findings characteristic of granuloma inguinale. FNA thus proved to be a useful adjuvant in the diagnosis of an unusual case of granuloma inguinale (donovanosis) presenting with a presacral mass that had the radiologic characteristics of a malignant tumor.
一名来自秘鲁的63岁西班牙裔男子最近移民到美国，出现进行性虚弱、体重减轻、反复腹痛和经直肠排出鲜红色血液。怀疑为直肠癌。乙状结肠两个病变的活检显示为腹股沟肉芽肿（杜诺凡病）。腹部计算机断层扫描显示骶前有一个大肿块。对骶前肿块进行放射学引导下细针穿刺抽吸（FNA），显示出腹股沟肉芽肿的特征性表现。因此，FNA被证明是诊断一例不寻常的腹股沟肉芽肿（杜诺凡病）的有用辅助手段，该病例表现为具有恶性肿瘤放射学特征的骶前肿块。
