Abdu R A, Carter K, Pomidor W J
Department of Surgery, St Elizabeth Hospital Medical Center, Youngstown, Ohio 44501-1790.
Arch Surg. 1993 Jan;128(1):103-4. doi: 10.1001/archsurg.1993.01420130115017.
The decreased incidence of gastric syphilis has made its clinical presentation less widely appreciated. A 61-year-old man suffering from epigastric pain, nausea, and vomiting had an initial diagnosis of gastric carcinoma; the pathologic diagnosis was equivocal. Eventually, gastric syphilis was diagnosed. In the context of the case described below, positive serologic findings in a relatively young adult should raise the suspicion of gastric syphilis. Carcinoma must be ruled out, lest the patient lose valuable time while being treated for syphilis.
胃梅毒发病率的下降使得其临床表现不那么广为人知。一名61岁的男性，患有上腹部疼痛、恶心和呕吐，最初被诊断为胃癌；病理诊断不明确。最终，确诊为胃梅毒。在以下所述病例的背景下，相对年轻的成年人血清学检查结果呈阳性应引起对胃梅毒的怀疑。必须排除癌症，以免患者在接受梅毒治疗时失去宝贵的时间。
