No abstract

The optimum management of verrucous carcinoma is uncertain owing to its rarity. A multidisciplinary approach should be taken when contemplating surgery for locally advanced lesions. 1 A fungating anal tumour with palpable groin nodes and warty lesions over the penis and scrotum. The tumour was resected abdominoperineally. Histology confirmed anourological verrucous carcinoma. 2 Warty recurrences occurred in the perineal wound within a month of surgery. 3 Large perineal defect following wide local excision with penile amputation and urethrostomy. 4 Bilateral medial thigh V-Y fasciocutaneous advancement flaps. 5 Scrotal defects closed by split-thickness skin grafting. 6 Wound healing uncomplicated with no evidence of recurrence at 3 months.Tech Coloproctol