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模仿转移性直肠癌的三期梅毒。

Tertiary syphilis mimicking metastatic rectal cancer.

作者信息

Smith Matthew J, Ong Meydene, Maqbool Abrar

机构信息

Department of General Surgery, Griffith Base Hospital, Griffith, New South Wales, Australia.

出版信息

J Surg Case Rep. 2022 Mar 26;2022(3):rjac093. doi: 10.1093/jscr/rjac093. eCollection 2022 Mar.

DOI:10.1093/jscr/rjac093
PMID:35355571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8963157/
Abstract

Syphilis is a sexually transmitted infection caused by the bacterium . Tertiary syphilis, a late-stage multi-visceral complication of the disease is characterized by its diversity of clinical manifestations. Here, we present the first documented case of tertiary syphilis that clinically and radiologically mimicked primary rectal cancer with hepatic metastasis.

摘要

梅毒是一种由细菌引起的性传播感染。三期梅毒是该疾病的晚期多脏器并发症，其临床表现具有多样性。在此，我们报告首例经记录的三期梅毒病例，该病例在临床和放射学表现上酷似原发性直肠癌伴肝转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5df2/8963157/c2e30d0b61e1/rjac093f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5df2/8963157/cf6b58b823b1/rjac093f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5df2/8963157/c2e30d0b61e1/rjac093f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5df2/8963157/cf6b58b823b1/rjac093f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5df2/8963157/c2e30d0b61e1/rjac093f2.jpg

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Tertiary syphilis mimicking metastatic rectal cancer.模仿转移性直肠癌的三期梅毒。
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Multiple liver metastases of unknown origin: A case report.原发灶不明的多发性肝转移瘤：一例报告
World J Gastrointest Oncol. 2025 Jan 15;17(1):100210. doi: 10.4251/wjgo.v17.i1.100210.
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Challenges in the Diagnosis of Tertiary Syphilis: Case Report with Literature Review.

本文引用的文献

1
An Update on the Global Epidemiology of Syphilis.梅毒全球流行病学最新情况
Curr Epidemiol Rep. 2018 Mar;5(1):24-38. doi: 10.1007/s40471-018-0138-z. Epub 2018 Feb 19.
2
Reported Primary and Secondary Syphilis Cases in the United States: Implications for HIV Infection.美国报告的原发性和继发性梅毒病例：对 HIV 感染的影响。
Sex Transm Dis. 2018 Sep;45(9S Suppl 1):S42-S47. doi: 10.1097/OLQ.0000000000000810.
3
Syphilis.梅毒。
三期梅毒诊断难点：病例报告并文献复习
Int J Environ Res Public Health. 2022 Dec 17;19(24):16992. doi: 10.3390/ijerph192416992.
Nat Rev Dis Primers. 2017 Oct 12;3:17073. doi: 10.1038/nrdp.2017.73.
4
Syphilitic gummas mistaken for liver metastases.被误诊为肝转移瘤的梅毒瘤
Clin Gastroenterol Hepatol. 2014 Nov;12(11):e109-10. doi: 10.1016/j.cgh.2014.04.022. Epub 2014 Apr 30.
5
Tertiary syphilis mimicking hepatic metastases of underlying primary peritoneal serous carcinoma.三期梅毒酷似原发性腹膜浆液性癌的肝转移。
World J Hepatol. 2010 Sep 27;2(9):362-6. doi: 10.4254/wjh.v2.i9.362.
6
Tertiary syphilis presenting as hepatic bull's eye lesions.表现为肝脏靶心样病变的三期梅毒。
Acta Gastroenterol Belg. 2005 Oct-Dec;68(4):435-9.
7
The pathogenesis of syphilis: the Great Mimicker, revisited.梅毒的发病机制：再探“伟大模仿者”
J Pathol. 2006 Jan;208(2):224-32. doi: 10.1002/path.1903.
8
Five cases of syphilitic hepar lobatum with portal obstruction.五例伴有门静脉梗阻的梅毒性分叶状肝。
Proc R Soc Med. 1961 Nov;54(11):973-5. doi: 10.1177/003591576105401112.