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[A chancre instead of cancer].
Ned Tijdschr Geneeskd. 2019 07 18; 163NT

Abstract

BACKGROUND

Syphilis (lues) is a sexually transmitted infection caused by the spirochete Treponema pallidum. In adolescents, the diagnosis of primary syphilis can be made promptly by taking a sexual medical history and inspecting the glans penis.

CASE DESCRIPTION

A 17-year-old male was referred to the paediatric oncology centre for additional diagnostics due to inguinal lymphadenopathy, with a strong suspicion of a malignant lymphoma. None of the physicians took a sexual medical history or investigated the glans penis, as a result of which essential information was lacking. The combination of inguinal lymphadenopathy and the ultrasound findings for the inguinal region made the physicians only consider a malignancy. However, it actually concerned a reactive lymphadenopathy associated with primary syphilis.

CONCLUSION

This case demonstrates that a full medical history and thorough physical examination can prevent the need for costly and invasive diagnostics.

Authors+Show Affiliations

UMC Utrecht, afd. Urologie, Utrecht.UMC Utrecht, afd. Urologie, Utrecht. Contact: M.T.W.T. Lock (m.t.w.t.lock@umcutrecht.nl).UMC Utrecht, afd. Kinderurologie, Utrecht.UMC Utrecht, afd. Kinderurologie, Utrecht. Sechenov Universiteit, MoskouDeventer Ziekenhuis, afd. Urologie, Deventer.

Pub Type(s)

Case Reports
Journal Article

Language

dut

PubMed ID

31361406

Citation

Prins, Fieke M., et al. "[A Chancre Instead of Cancer]." Nederlands Tijdschrift Voor Geneeskunde, vol. 163, 2019.
Prins FM, Lock MTWT, Stillebroer AB, et al. [A chancre instead of cancer]. Ned Tijdschr Geneeskd. 2019;163.
Prins, F. M., Lock, M. T. W. T., Stillebroer, A. B., Dik, P., & van der Meer, G. T. (2019). [A chancre instead of cancer]. Nederlands Tijdschrift Voor Geneeskunde, 163.
Prins FM, et al. [A Chancre Instead of Cancer]. Ned Tijdschr Geneeskd. 2019 07 18;163 PubMed PMID: 31361406.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A chancre instead of cancer]. AU - Prins,Fieke M, AU - Lock,M T W T, AU - Stillebroer,Alexander B, AU - Dik,Pieter, AU - van der Meer,Gretha T, Y1 - 2019/07/18/ PY - 2019/7/31/entrez PY - 2019/7/31/pubmed PY - 2020/5/20/medline JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 163 N2 - BACKGROUND: Syphilis (lues) is a sexually transmitted infection caused by the spirochete Treponema pallidum. In adolescents, the diagnosis of primary syphilis can be made promptly by taking a sexual medical history and inspecting the glans penis. CASE DESCRIPTION: A 17-year-old male was referred to the paediatric oncology centre for additional diagnostics due to inguinal lymphadenopathy, with a strong suspicion of a malignant lymphoma. None of the physicians took a sexual medical history or investigated the glans penis, as a result of which essential information was lacking. The combination of inguinal lymphadenopathy and the ultrasound findings for the inguinal region made the physicians only consider a malignancy. However, it actually concerned a reactive lymphadenopathy associated with primary syphilis. CONCLUSION: This case demonstrates that a full medical history and thorough physical examination can prevent the need for costly and invasive diagnostics. SN - 1876-8784 UR - https://www.unboundmedicine.com/medline/citation/31361406/[A_chancre_instead_of_cancer] L2 - https://medlineplus.gov/syphilis.html DB - PRIME DP - Unbound Medicine ER -