En mann i 40-årene med analtumor og lymfeknutesvulst i lysken

BACKGROUND Lymphogranuloma venereum is a sexually transmitted disease caused by Chlamydia Trachomatis genovars L1, L2, L3 and may present with diverse symptoms, mimicking inflammatory, ischemic, infectious neoplastic processes. CASE PRESENTATION A male in his forties was examined at the gastrosurgical department due to two weeks’ history of rectal discharge one year anal tumour. Examination revealed an ulcerated tumour enlarged painful inguinal lymphatic node. The patient underwent further examination colonoscopy, biopsy, CT MRI scan. results were interpreted as disseminated cancer, scan showed resembling probably affecting internal sphincter, suspected metastases inguinal, parailiac paraaortic lymph nodes. However, biopsy lympha node detected no malignant cells. Rectal intestinal spirochetosis, which led our contact venereology. tested for various diseases found be positive trachomatis serotypes L1-L3, known venereum. He treated doxycycline recovered rapidly, demonstrating full resolution symptoms. INTERPRETATION mimic cancer should considered differential diagnosis patients tumours.