Inflammatory Pseudotumor of the Anal Canal Mimicking Colorectal Cancer: Case Report and Hints to Improve a Patient’s Fitness for Treatment and Prevention DOI Creative Commons
Vito Rodolico, Paola Di Carlo, Girolamo Geraci

et al.

Diagnostics, Journal Year: 2025, Volume and Issue: 15(7), P. 885 - 885

Published: April 1, 2025

Background and Clinical Significance: Men who engage in anal fisting may experience full rectal colon thickness injury resulting an endoscopic emergency. The endoscopist does not routinely question patients about their sexual habits, nor are compliant with counseling during the endoscopy procedure as indicated by infectious disease clinician. Case Presentation: A 47-years-old HIV- monkeypox virus (MPXV)-negative Caucasian gay man underwent colonoscopy because of changes bowel habits discomfort bleeding. first showed a vegetative annular neoformation canal. There was concentric stenosis lumen. suspected diagnosis squamous cell carcinoma histopathology investigation requested. Biopsy histology excluded frank neoplasm or intraepithelial neoplasia (AIN). Then, patient referred to multidisciplinary team. With adequate counseling, disclosed his habitual fisting. Laboratory identification L1-L3 Chlamydia trachomatis (CT) genovars positive for CT L1, L2, real-time PCR Neisseria gonorrhoeae (NG), Mycoplasma hominis. Human Papillomavirus (HPV)-DNA detection identified HPV type 70, 68, 61. We illustrate this case plenty immunohistochemistry. also review differential AIN according 5th edition (2019) WHO Classification Digestive System Tumours. Conclusions: Our emphasizes two important aspects pathology: first, significance understanding patients' behaviors diagnosing injuries, well need sexually transmitted infections (STI) screening especially CT; second, effectiveness communication model that encourages private discussions alleviate fears improve prevention efforts.

Language: Английский

Inflammatory Pseudotumor of the Anal Canal Mimicking Colorectal Cancer: Case Report and Hints to Improve a Patient’s Fitness for Treatment and Prevention DOI Creative Commons
Vito Rodolico, Paola Di Carlo, Girolamo Geraci

et al.

Diagnostics, Journal Year: 2025, Volume and Issue: 15(7), P. 885 - 885

Published: April 1, 2025

Background and Clinical Significance: Men who engage in anal fisting may experience full rectal colon thickness injury resulting an endoscopic emergency. The endoscopist does not routinely question patients about their sexual habits, nor are compliant with counseling during the endoscopy procedure as indicated by infectious disease clinician. Case Presentation: A 47-years-old HIV- monkeypox virus (MPXV)-negative Caucasian gay man underwent colonoscopy because of changes bowel habits discomfort bleeding. first showed a vegetative annular neoformation canal. There was concentric stenosis lumen. suspected diagnosis squamous cell carcinoma histopathology investigation requested. Biopsy histology excluded frank neoplasm or intraepithelial neoplasia (AIN). Then, patient referred to multidisciplinary team. With adequate counseling, disclosed his habitual fisting. Laboratory identification L1-L3 Chlamydia trachomatis (CT) genovars positive for CT L1, L2, real-time PCR Neisseria gonorrhoeae (NG), Mycoplasma hominis. Human Papillomavirus (HPV)-DNA detection identified HPV type 70, 68, 61. We illustrate this case plenty immunohistochemistry. also review differential AIN according 5th edition (2019) WHO Classification Digestive System Tumours. Conclusions: Our emphasizes two important aspects pathology: first, significance understanding patients' behaviors diagnosing injuries, well need sexually transmitted infections (STI) screening especially CT; second, effectiveness communication model that encourages private discussions alleviate fears improve prevention efforts.

Language: Английский

Citations

0