Cervical flat warts are changes in the squamous epithelium of the cervix caused by HPV infection and are theoretically potentially transmissible because the HPV virus can be transmitted by sexual intercourse. The pathology is characterized by slight cellular heterogeneity but no nuclear heterogeneity, empty halo around the nucleus, no increase in the number of cell layers, and no finger-like structures like condyloma acuminata. I often get calls from patients asking if cervical condyloma is syphilis. In fact, just as calling the same name is not a person. What we now clinically refer to as cervical condyloma is not a venereal disease, nor is it syphilis. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. In the early stage, it invades the mucous membrane of the skin, and in the late stage, it mainly invades the cardiovascular and nervous system, and can invade the tissues and organs of the whole body and produce various symptoms and signs. 1. Phase I syphilis: usually 7~60 days after infection, hard nodules or rashes of rice-like size, painless and itchless, round or oval, with clear borders appear on the genitalia, most of them are solitary, with hard periphery and rapid surface erosion and ulceration, but no pus or discomfort. The duration is 4 to 6 weeks. If not cured in time, it will be transformed into stage II syphilis.2. Stage II syphilis: systemic symptoms such as fever, headache, bone and joint pain, enlarged liver and spleen, enlarged lymph nodes; followed by syphilis rash, characterized by various rash types (maculopapular, papular, pustular and flat warts), widespread and symmetrical, painless and non-itchy, mostly without scarring after healing, and rapidly fading with anthelmintic treatment.3. Stage III syphilis: generalized superficial lymph nodes Enlargement. Nodular syphilis rash, characterized by symmetry, varying in size, hard, inactive, non-breaking, normal epidermis, no inflammation, painless, and self-extinguishing; most commonly found on the scalp, scapula, back and extensor side of the limbs. It can also invade the internal organs, especially the cardiovascular and central systems, etc. 4. Congenital syphilis: the child is born thin and small, and symptoms appear 3 weeks after birth, with enlarged, non-adherent, painless and hard lymph nodes throughout the body. The period of syphilis mainly invades the cardiovascular and nervous system, and can invade the tissues and organs of the whole body and produce a variety of signs and symptoms. After learning about syphilis, I believe you will no longer think that flat cervical warts caused by infection with HPV is syphilis. It’s just that the cervical flat warts after HPV infection are mistaken for the second stage syphilis flat warts of syphilis, right?