Abstract:Anogenital condyloma/papilloma is the most common sexually transmitted disease (STD), and it is associated with human papilloma virus infection. However, anogenital papilloma/carcinoma greater than 10 cm in diameter is unusual. Here we report a case of unusually large anogenital verrucus carcinoma on both buttocks in a 33 year-old male associated with low risk and high risk HPV infections. Unusually large anogenital tumor is sometimes named as Buschke-Lowënstein tumor, also known as the anogenital subtype of verrucous carcinoma.3 Introduction: