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 Practjournal_title
International journal of clinical practiceauthors
Bracey EE,Mathur P,Dooldeniya M,Joshi A,Dawson PMsubject
Has Abstractpub_date
2003-05-01 00:00:00pages
343-6issue
4eissn
1368-5031issn
1742-1241journal_volume
57pub_type
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journal_title:International journal of clinical practice
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