Unusual perianal tumours masquerading as abscesses.

Abstract:

:Tumours of the perianal region and anal canal are uncommon and can present in a variety of ways. Acute anorectal sepsis is a common condition that usually presents as a painful lump close to the anal margin. Tumours in the perianal region may mimic the symptoms and signs of anorectal sepsis, thereby leading to a delay in diagnosis and management. We report three patients who presented to our department with symptoms and signs suggestive of perianal abscess but which on further investigation were discovered to be due to unusual perianal tumours. Only one of the tumours was found to be malignant--a primary perianal mucinous adenocarcinoma; the other two were benign, a leiomyoma and an aggressive angiomyxoma. A high index of clinical suspicion is required to the diagnosis of perianal tumours when assessing patients with painful perianal lumps, particularly those with a long history and those of ethnic origin. Every effort should be made to establish a preoperative diagnosis so that correct treatment can be delivered.

journal_name

Int J Clin Pract

authors

Bracey EE,Mathur P,Dooldeniya M,Joshi A,Dawson PM

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

343-6

issue

4

eissn

1368-5031

issn

1742-1241

journal_volume

57

pub_type

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