患者男 ,68岁 ,退休工人 ,因肛门周围发现增生物半年 ,伴肛周瘙痒十五天来诊。患者否认不洁性交史。诊见 :肛门周围可见数十粒米粒大小乳头状及菜花状增生物 ,根部有蒂 ,呈暗红色 ,质地软。颜面及双上肢可见针头至绿豆大小扁平光滑丘疹 ,呈圆形或多角形 ,正常皮色或淡褐色。左 Male patient, 68 years old, retired workers, due to the presence of anorexia around the anus for six months, with perianal itching 15 days to clinic. Patients denied unclean sex history. Diagnosis: There are dozens of grain-sized nipples and cauliflower-like proliferators around the anus. The roots are pedunculated, dark red and the texture is soft. Face and upper extremity visible needle to mung bean size Flat smooth papules, was round or polygonal, normal skin color or light brown. left