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#1
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03-12-2010, 12:54 AM
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Anus Tumor!
Seventy years-old, male, heavy smoker, homosexual, bad socioeconomic situation, without family support. He presented at the Emergency Room with a perineal tumor that had been slowly growing for the previous 2 years. The mass was initially painless but at consultation it was extremely painful. In the evolution fecal incontinency arouses. Of notice on physical examination the patient has regular general condition and the ano-perineal region was completely occupied by a cawliflowerlike tumor of 10 by 15 cm in major diameters with multiple fistulae with spontaneous discharge of semi-liquid stools. Digital rectal examination was impossible due to pain. No palpable lymph nodes were found. |