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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 12

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Ginecol Obstet Mex 2022; 90 (12)

Buschke-Löwenstein tumor resection in a pregnant women: A case report and literature review

Castillo-Rosales S, González-Padrón E, Velásquez-Castellanos PI, Macías-Vera NN

Language: Spanish
References: 13
Page: 1010-1016
PDF size: 265.17 Kb.


ABSTRACT

Background: Buschke-Löwenstein tumor is associatted with the human papillomavirus (HPV), which is considered a sexually transmitted infection, characterized by the presence of a giant wart, exophytic condyloma with the shape of a cauliflower, slow growth, but during pregnancy it can grow fast as a solitary condyloma, affecting other structures. This case provides a better understanding of an unusual pathology, which with surgical treatment was obtained aesthetic results and with adequate functionality of external genitalia.
Clinical case: 18-year-old female, primiparous with 35 weeks pregnant, with no significant history, 4 previous months begins with the presence of warts in the perineal region with accelerated increase in size in the last 30 days, associated with intense pain on mobilization, fetid discharge, and area of erythema and intergluteal irritation, friable tumor with a tendency to bleed with areas of necrosis.
Conclusions: The Buschke-Löwenstein tumor is a rare pathology caused by HPV, which can present accelerated growth due to the hormonal stimulus of the gestational state, this tumor does not resolve spontaneously, so the surgical approach is considered top of the line. The follow-up of these patients must be close due to the high rate of recurrence.


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