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患者男,30岁,农民。因肛周赘生物逐渐增多、增大无自觉症状1月。于1999年6月2日来我门诊就诊,追问患者病史:半年前有不洁性生活史,约3周后,包皮上出现过豆粒大小溃疡,无明显不适,未经治疗,1月后自动愈合。1月前肛周生长赘生物,曾在当地医院外科诊断为痔疮(肛门外痔)。给予手术切除,以后皮损增多,且表面有脓性分泌物。查体:现肛门周围可见环状分布数十个花生米大小淡红色、浅褐色疣状结节,表
Male patient, 30 years old, farmer. Because perianal neoplasia gradually increased, increasing no symptoms in January. On June 2, 1999, I came to my outpatient clinic to ask the patient’s medical history. She had a history of unclean sexual life six months ago. About three weeks later, herpes size ulcers appeared on the foreskin without significant discomfort, untreated, and automatically after January heal. A week ago, perianal growth of neoplasms, had surgery in the local hospital diagnosed as hemorrhoids (anal external hemorrhoids). Given surgical resection, increased skin lesions, and the surface of purulent secretions. Physical examination: the anus can be seen around the ring around the distribution of dozens of peanuts size pink, light brown verrucous nodules, the table