Cancer Hard (Syphilis)

Primary syphilis: it is an ulcerated lesion (cancer) not painful (or slightly painful), usually single, with the base hard, smooth, shiny, with the presence of serous (liquid, transparent) scarce and that can happen in labia, vagina, clitoris, perineum and cervix in women and the glans and foreskin in men, but can also be found on fingers, lips, nipples and conjunctiva. Often also the inguinal adenopathy (groin íngua) that generally goes unnoticed. Cancer usually disappears 3-4 weeks without scarring. Between the second and fourth weeks of the onset of cancer, serological tests (tests carried in the blood) for syphilis become positive.

Secondary syphilis: is characterized by the spread of treponemes by the body and occurs 4 to 8 weeks of the onset of cancer. The demonstrations at this stage are mainly dermatological and serological reactions remain positive.

Latent syphilis: at this stage there are no visible manifestations but remain positive serological reactions.

Late Acquired Syphilis: Syphilis is considered late after the first year of progression in patients untreated or inadequately treated. Are presented after a variable period of latency as skin, bone, cardiovascular, nervous etc. The serological reactions also remain positive at this stage.

Congenital Syphilis: is due to infection by Treponema fetus via the placenta, from the fourth month of pregnancy. The manifestations of the disease in most cases, are present already in the first days of life and may assume serious even may lead to death of the child.
Treatment
Medicated. With complete cure if treated early and properly.

Prevention
Condoms can protect from contamination genital if the lesion is in the area covered. Avoid sexual contact in the genital lesion was detected (a) partner (a).
Control
The goal of syphilis control is interrupçãoda chain of transmission and prevention of new cases.
Prevent transmission of the disease consists in detecting and treating early and appropriate patient and partner or partners. In the detection of cases, the introduction of rapid testing in partners of patients or pregnant women may be very important. Adequate treatment consists of using penicillin as first choice and in adequate doses. In special situations, such as localized increase in the number of cases, prophylactic treatment may be assessed.
The prevention of new cases should have a strategy of information for the general population and especially for the most vulnerable populations (sex workers, intravenous drug users, etc..) About the disease and ways to avoid it. It is important for patient counseling trying to show the need for communication to partner and encourage the use of condoms during sexual intercourse. The constant and continuous recycling of health teams completes this set of measures for prevention and control of syphilis