Acuña AAM, Fuentes GG

Language: Spanish
References: 8
Page: 502-508
PDF size: 227.59 Kb.

ABSTRACT

Introduction: condyloma or genital warts are caused by human papiloma virus of which there are over 100 different genotypes; around 40 of them are sexually transmitted.
Objective: to describe the clinical characteristics of the giant condyloma (Buschke- Lowenstein tumor) and their treatment through a case report. A woman with giant condyloma acuminatum located in the perineal and perianal area of 5 years of progression, which made it difficult for her to urinate, to have sexual intercourse and even to walk; she also suffered pruritus and pain and bad smell.
Results: the histopathological exam showed condyloma acuminatum. She was operated on and the tumor was completely excised, with excellent functional and cosmetic results; neither postoperative complications nor relapses or hypertrophic scars were observed after a year.
Conclusions: giant condyloma is the final result of the confluence of multiple condylomas until they cover the whole perianal or vulvar surface, giving it a clinical look of malignancy. It is rare and may be associated to compromised condition of the immune system.

REFERENCES

1. Gearhart PA, Randall TC, Buckley RM. Human papillomavirus [En línea]. 2006. [citado: enero 11 de 2007]. Disponible en: http://www.emedicine.com/med/topic1037.htm

2. Muñoz RC. Epidemiología del virus del papiloma humano [En línea]. 2006. [citado: enero 11 2007]. Disponible en: http://geosalud.com/VPH/epivph.htm

3. Pérez ER, Crespo CG, Isla A, Velazco A. Condiloma gigante de Bushke y Loewenstein a propósito de 2 casos. Rev Cubana Obstet Ginecol. 2005;31:101-7.

4. Montero VMP, Batallán JMP, Batista MN, Dager HA. Condiloma acuminado gigante. Presentación de un caso. Correo Cient Med Holguin. 2004;8:81-87.

5. Ambriz GG, Escobedo ZL, Carrillo DM, Ortiz AA, Cordero ZA, Corona NA, et al. Buschke-Lowenstein tumor in childhood: a case report. J Pediatr Surg. 2005;40:25-7.

6. Machado CI, Castillo OA, Ochoa OMC, García GR, Lamar MY. Condiloma gigante de Buschke y Lowenstein. A propósito de un caso. Dermatol Peru. 2006;16:74-6.

7. De Toma G, Cavallaro G, Bitoni A, Polistena A, Onesti MG, Scuderi N. Surgical management of perianal giant condyloma acuminatum (Buschke-Löwenstein tumor). Report of three cases. Eur Surg Res. 2006;38:418-22.

8. Tytherleigh MG, Birtle AJ, Cohen CE, Glynne-Jones R, Livingstone J, Gilbert J. Combined surgery and chemoradiation as a treatment for the Buschke-Lowenstein tumour. Surgeon. 2006;4:378-83.