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1.
Intern Med ; 51(17): 2479-81, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22975572

RESUMEN

A 46-year-old man complained of ulcerovegetative lesions in the anogenital region, which he had noted one month prior to presentation. The patient had a history of travel to African countries. Therefore, the ulcerovegetative lesions of the patient were suspected to be granuloma inguinale (GI). Calymmatobacterium granulomatis was not observed in the direct examination of scrapings collected from the base of the ulcerovegetative lesion. Instead, a histological examination revealed cutaneous metastasis of mucinous adenocarcinoma of the rectum. Therefore, a diagnosis of GI was eliminated. As the patient did not report his history of rectal cancer and had travelled to African countries, we had primarily focused on the diagnosis of GI.


Asunto(s)
Adenocarcinoma/diagnóstico , Adenocarcinoma/secundario , Granuloma Inguinal/diagnóstico , Neoplasias del Recto/diagnóstico , Neoplasias del Recto/patología , Neoplasias Cutáneas/diagnóstico , Neoplasias Cutáneas/secundario , África , Calymmatobacterium , Quimioterapia Adyuvante , Colostomía , Diagnóstico Diferencial , Granuloma Inguinal/microbiología , Granuloma Inguinal/patología , Humanos , Masculino , Persona de Mediana Edad , Neoplasias del Recto/cirugía , Piel/microbiología , Piel/patología , Negativa del Paciente al Tratamiento
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