1984 Volume 26 Issue 11 Pages 1964-1968_1
Gastric syphilis is relatively uncommon. An accurate diagnosis of gastric syphilis which may be confused with malignant lesion is difficult without surgery. The case reported here in is worth recording. A 73-year-old female was referred to our clinic for complete check-up of a IIc like lesion which was found on mass X-ray survey of the stomach. X-ray and endoscopic examinations showed an irregular depression with fold convergencies indistinguishable from a IIc lesion on the lesser curvature of the antrum. There was no healing tendency of the lesion after two months of treatment with cimetidine and repeated biopsy could not reveal malignant findings. Based on a positive result of serologic test for syphilis and characteristic X-ray and endoscopic findings, gastric syphilis was strongly suspected.Epigastric pain was relieved and the lesion was healed immediately after twenty days of treatment with benzyl penicilline procaine.
