Ikebe M, Oiwa T, Mori M, Kuwano H, Sugimachi K, Yao T
Second Department of Surgery, School of Medicine, Kyushu University, Fukuoka, Japan.
Radiat Med. 1994 Jul-Aug;12(4):171-5.
A 35-year-old Japanese woman consulted our clinic with a one-month history of epigastric pain. Although a superficial depressed type of early gastric carcinoma was highly suspected from the results of upper gastrointestinal barium studies and gastroscopy, there was no evidence of malignancy in the biopsy specimen. Gastric syphilis was then considered based on skin lesions and serological studies. Diagnostic antisyphilitic therapy improved the symptoms and gastric lesion promptly. A review of the recent reports indicated that most cases of early phase gastric syphilis seem to present morphologically either as a narrowing lesion or shallow ulcero-nodular lesion at the pyloric antrum. Therefore, whenever such findings are recognized either radiologically or gastroscopically and no malignant cells are found in biopsy specimens, gastric syphilis and diagnostic antisyphilitic therapy should be considered.
一名35岁的日本女性因上腹部疼痛1个月前来我院就诊。尽管根据上消化道钡剂造影和胃镜检查结果高度怀疑为早期浅表凹陷型胃癌，但活检标本中未发现恶性证据。随后根据皮肤病变和血清学检查考虑为胃梅毒。诊断性抗梅毒治疗迅速改善了症状和胃部病变。近期报告回顾表明，大多数早期胃梅毒病例在形态上似乎表现为幽门窦狭窄病变或浅溃疡结节性病变。因此，无论在放射学或胃镜检查中发现此类表现，且活检标本中未发现恶性细胞时，均应考虑胃梅毒及诊断性抗梅毒治疗。
