Endean E D, Ross C W, Strodel W E
Surgery. 1987 Jun;101(6):767-9.
This case report describes the occurrence of a painful rectal ulcer and associated fecal incontinence in a male homosexual with acquired immune deficiency syndrome. At biopsy, the ulcer proved to be Kaposi's sarcoma. The unusual location and the atypical gross appearance of this lesion underscore the need for an aggressive diagnostic approach to such ulcerative lesions. The advanced stage of the tumor at diagnosis and the patient's poor prognosis presented a difficult therapeutic dilemma, for which only palliative measures and local control were recommended.
本病例报告描述了一名患有获得性免疫缺陷综合征的男性同性恋者出现疼痛性直肠溃疡及相关大便失禁的情况。活检显示该溃疡为卡波西肉瘤。此病变不寻常的位置及非典型的大体外观突出了对这类溃疡性病变采取积极诊断方法的必要性。诊断时肿瘤已处于晚期且患者预后不良，这带来了艰难的治疗困境，对此仅建议采取姑息措施和局部控制。
