Lesions to the anus

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Colonoscopy with biopsies for dysplasia. A digital exam usually cannot detect anal dysplasia because these high-grade lesions cannot be felt. Hypertrophied papillae are generally white, firmer on digital examination than polyps, and located at the dentate line Figure The most common cause is advanced cryptoglandular infection resulting in a necrotizing perineal infection. If the patient is suffering from constipation, a laxative may be prescribed. To see the full article, log in or purchase access. Imiquimod, a patient-applied immune-response modifier for treatment of external genital warts.

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Neisseria gonorrhoeae, Chlamydia trachomatis and syphilis can also infect the anus.

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What is this rectal lesion?

Anal cancers are often divided into 2 groups, which are sometimes treated differently: Johanson JF, Rimm A. The internal sphincter is totally involuntary. What is the most likely histology? If diagnosis is uncertain, biopsy or removal is indicated.

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