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Gastric syphilis mimicking gastric cancer: A case report

World Journal of Clinical Cases 2021年第26期9卷 7798-7804页

作者： Yan-Mei Lan Shang-Wen Yang Mu-Gen Dai Bin Ye Fei-Yun He Department of Gastroenterology The Fifth Affiliated Hospital of Wenzhou Medical UniversityLishui 323000Zhejiang ProvinceChina Department of Gastroenterology Lishui Chinese Medicine HospitalLishui 323000Zhejiang ProvinceChina

BACKGROUND The nonspecific clinical,radiological and pathological characteristics of gastric syphilis can establish it as an imitator of other gastric *** absence of primary or secondary lubricating lesions should not prevent consideration of gastric *** SUMMARY A 63-year-old female patient presented to the hospital with dull pain in the middle and upper abdomen without apparent cause for one week,which was aggravated for two *** patient had been sexually active with the same male partner for the past years,but her partner was *** contrastenhanced computed tomography(CT)and positron emission tomography/CT suggested gastric *** gastroscopy revealed an antral gastric ulcer with gastric retention,and also suggested gastric *** no cancer cells were found in the biopsies taken during the two *** pallidum(***)antibodies:ELISA positive,rapid plasma reagin titer 1:*** and eosin(HE)stain showed macrophage infiltration in the lamina *** spirochetes were observed by immunohistochemical staining using a monoclonal antibody against *** patient was finally diagnosed with gastric *** Only a few cases of gastric syphilis have been misdiagnosed as gastric *** can relieve symptoms of gastric syphilis.

关键词： syphilis gastritis Misdiagnosis Gastric cancer Endoscopy Case report

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