結核性肛門潰瘍の2治験例鑑別診断を中心に

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We have recently experienced two cases of anal tuberculous ulcer. Case 1 : A 48-year-old man was admitted to our hospital complaining of anal discomfort. Local findings of the anus showed superficial ulcer (3.5×3.5em in size) which was accompanied by granulation tissue penetrating partially into the anal canal. Touch smear cytology and punch biopsy revealed no evidence of malignancy. Total excisional biopsy was performed and post-operative pathological diagnosis showed tuberculous ulcer of the anus.<BR>Case 2: A 30-year-old man complaining of abdominal pain and anal pain was admitted to our school. Active pulmonary tuberculosis was found on the chest X-ray film and intestinal tuberculosis was detected by oral barium examination. This case was a typical secondary tuberculosis of the anus.<BR>In conclusion, in treating intractable anal ulcer, we must always bear in mind the tuberculous lesion for the differential diagnosis of other diseases.
日本大腸肛門病学会の論文