Vignette

55 y/o HIV positive man has a fungating mass growing out of his anus
which he can feel when he wipes himself after a bowel movement but is
not painful. For the past 6 months he’s noted blood on the tissue and
from time to time he has noted blood coating the outside of his stool.
He has lost weight and looks emaciated and ill.  On physical exam,
the mass is easily visible. It measures 3.5 cm in diameter, is fixed to
surrounding tissues and appears to grow out of the anal canal.  He
also has rock-hard, enlarged inguinal lymph nodes on both groins, some
of which as large as 2.5 cm in diameter.  Which of the following
is the most likely diagnosis?

A. Adenocarcinoma of the rectum

B. Condyloma acuminata of the anus

C. External hemorrhoids

D. Rectal prolapse

E. Squamous cancer of the anus

About papillion

Intense Often Moody Transparent Exquisitely sensitive Animated Never satisfied Curious Eternal Romantic Creative Devotedly Christian Encouraging Multi-layered Loving Quick Judge Critical Forever evolving View all posts by papillion

2 responses to “Vignette

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: