Anal papilloma
Introduction
Introduction to anal papilloma Anal papilloma refers to an anal papilla that is hardened by long-term stimulation of feces and chronic inflammation, and is one of the common benign tumors of the anorectal. The onset of the disease is concealed, the disease progresses slowly, and it is a benign tumor. The effect is better after treatment. More common in young adults, women are more than men. Clinically, in addition to anal papilloma prolapse, there is a bleeding after the stool, the feeling of poor bowel movements, anal itching, as the main performance. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: anal fissure constipation
Cause
Anal papilloma etiology
1, due to infection, trauma or irritation of the anal canal, such as the stimulation of chronic intestinal inflammation, habitual constipation, stool in the rectum for too long or dry stool induration.
2. Injury caused by defecation and secondary bacterial infection.
3, due to the proliferation of part of the anorectal ectoderm and subcutaneous tissue can lead to anal papilloma, there are individual differences in the number, shape and size.
4, anal papillary hypertrophy patients mostly combined with anal cryptitis.
Prevention
Anal papilloma prevention
1, early active treatment of anal sinus inflammation is the key to prevent anal papilloma.
2, for larger anal papilloma, if there is prolapse, should be promptly sent back to the anus, so as to avoid edema and incarceration, necrosis, bleeding and so on.
3, anal papilloma is a benign tumor, the disease is generally considered to have a trend of malignant transformation, advocate early surgical treatment.
4, prevention of anal papilloma should be timely treatment can cause anal papilloma disease, away from the disease.
Complication
Anal papilloma complications Complications anal fissure constipation
1, many scholars believe that anal papilloma is a disease of proliferative inflammation. Long-term existence in the human body, there is a trend of malignant transformation, clinically with the anal papilla gradually increased.
2, sometimes with the stool to escape the anus, repeated prolapse, stimulate the anal canal, can increase the local secretions, and sometimes there will be blood after the stool, the feeling of defecation is not clean and anal itching.
3, anal papilloma is generally considered to have a trend of malignant transformation, advocate early surgical treatment. It is necessary to promptly treat the symptoms of anal papilloma. In the treatment of anal papilloma, it is best to choose an anorectal hospital for the treatment of anal papilloma.
4, due to repeated anal papilloma out of the anus, resulting in increased anal secretions, causing anal itching or bowel movements are not clean.
5, huge anal papilloma due to occlusion of the anus, can cause constipation and fecal deformation, such as ulcers, often with blood in the stool, pus and other symptoms.
6, after the tumor is surgically removed, should be routinely sent for pathological examination to rule out the possibility of cancer.
Symptom
Anal papilloma symptoms Common symptoms Anal pain Anal itching Defecation not enough Anal fissure ulcer Anal papillary hypertrophy Anal endocrine
Anal papilloma is a common anorectal disease, which refers to the phenomenon that the anal papilla appears hardened and enlarged due to factors such as chronic inflammation. The onset of the disease is concealed, the disease progresses slowly, and it is a benign tumor. The effect is better after treatment. More common in young adults, women are more than men.
The symptoms of anal papilloma are mainly manifested in the following aspects:
1, the bowel movements do not feel: after the patient's bowel movements, there is still excrement left in the anus, there is a feeling of sagging, this is the feeling of defecation. Some women have a stronger feeling during the menstrual period.
2, anal itching: papilloma with the defecation repeatedly out of the anus, the anus is caused by friction caused by inflammation, causing secretions in the anus, irritating the skin of the perianal, it caused itching.
3, incarceration: anal nipple volume becomes larger, after taking out the anus, can not be pushed back into the anus in time is easy to cause incarceration, resulting in swelling of the anus, pain, people sitting uneasy.
4, anal discomfort: anal itching, swelling, pain. Sometimes inflammation can occur.
5, bleeding and pain: When the excrement is dry and hard, it will rub and rub the anus, sometimes there will be blood in the stool, and more serious will drop blood. [
Examine
Examination of anal papilloma
Speculoscopy: The base of the papilloma under the speculum is red, grayish white, and appears as a coral-like speculum.
Diagnosis
Diagnosis and diagnosis of anal papilloma
First, the diagnosis of anal papilloma
1, medical history: a history of anal sinusitis, because the symptoms are easily ignored.
2. Clinical manifestations:
(1) Defecation is not enough: the anal canal is rich in nerve fibers, forming an accessory sensory organ, and the inflammation of the anal papilla is inflammatory. The patient often has a feeling of defecation or a feeling of falling into the anus with a foreign body. Feeling and so on. In the acute inflammatory phase, it is accompanied by a feeling of urgency. Female patients with increased symptoms during menstruation are due to pelvic congestion during menstruation.
(2) Anal itching: due to long-term repeated prolapse of papilloma, inflammatory secretions stimulate the perianal skin, causing perianal eczema.
(3) Anal swelling and pain: After some of the papilloma is released, the incarceration can not be repaid, causing the lymphatic reflux to be blocked, causing anal swelling and pain.
3. Auxiliary inspection:
Speculoscopy: The base of the papilloma under the speculum is red, grayish white, and appears as a coral-like speculum.
Second, the diagnosis criteria of anal papilloma
1. Pathological diagnosis: histology confirmed as inflammatory tissue or fibroids.
2. Clinical diagnosis:
(1) Clinical manifestations: After the anus, there is something out of the anus, accompanied by a feeling of defecation, and it is heavy after the emergency. Itching of the anus, or swelling of the anus.
(2) Finger diagnosis: active hard knots are accessible at the tooth line.
(3) Speculum examination: grayish white under the microscope, showing a coral-like pedicle.
