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Anorectal Mass



  • Causes of Anorectal Mass

  • Haemorrhoid (prolapsed / thrombosed)
  • Rectal prolapse
  • Condyloma acuminatum (anal warts)
  • Skin tag
  • Perianal abscess
  • Tumour - SCC, BCC, mucinous adenocarcinoma, Paget's disease

History of Presenting Complaint

  • The Mass

    The location of the mass, its appearance and how large it is.
  • Smooth mass protuding from the anusHaemorrhoid or potentially rectal prolapse
  • Irregular massMore suggestive of anorectal tumour
  • Purulent discharge from massSuggestive of perianal abscess
  • Associated Symptoms

    Whether the mass is associated with any other symptoms.
  • Anorectal painMost likely thombosed haemorrhoid, though may represent anal SCC
  • FeversSuggestive of perianal abscess
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