A rare case of giant condyloma acuminata during pregnancy

Choudhary, Neeraj; Verma, Savitri; Gandhi, Sudha; Sharma, Anuj Kumar; Kumari, Asha

doi:10.18203/2320-1770.ijrcog20222333

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…[8] Surgical excision of large lesions before delivery is seldom considered reasonable management because the fetus may be affected during anesthesia. [12,13] In the present case, the patient 1 st visited another hospital, where the lesion was highly likely to be malignant. The lesion showed risky features, including rapid outgrowth and contact bleeding, during her 1 st visit to our outpatient clinic.…”

Section: Discussionmentioning

confidence: 63%

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Condyloma acuminatum mimicking cervical cancer in a pregnant woman and treatment with cryotherapy: A case report

2022

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Rationale: Condyloma acuminata and anogenital warts are protruding papillomatous lesions caused by human papillomavirus. In pregnant women, condyloma acuminata over the cervical region may grow rapidly, mimicking cervical cancer. Patient concerns: A pregnant woman at 14 weeks of gestation with condyloma acuminatum mimicking cervical cancer was referred to our hospital for further management. Diagnosis: Condyloma acuminata. Interventions: Tumor biopsy was performed twice, and the pathology confirmed condyloma acuminatum. Immunohistochemistry revealed focal positivity for p16 and Ki-67. Cryotherapy was performed and regular follow-up was performed at 2-week intervals. A small residual condyloma acuminata was found and treated with cryotherapy. Outcome: During the follow-up period, no recurrence of condyloma acuminata was noted. She delivered a baby at 37 weeks of gestation via cesarean section, without complications. Lessons: Condyloma acuminata of the cervix may grow faster during pregnancy, mimicking cervical cancer. Multiple factors must be considered when treating condyloma acuminata during pregnancy. Cryotherapy is proposed as a 1st-line treatment in all trimesters because of its safety, convenience, and cost-effectiveness. Serial follow-up at 2-week intervals to observe post-cryotherapy conditions is recommended.

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Section: Discussionmentioning

confidence: 63%

“…[ 8 ] Surgical excision of large lesions before delivery is seldom considered reasonable management because the fetus may be affected during anesthesia. [ 12 , 13 ]…”

Section: Discussionmentioning

confidence: 99%

Condyloma acuminatum mimicking cervical cancer in a pregnant woman and treatment with cryotherapy: A case report

2022

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“…In pregnant women, condyloma acuminatum may grow rapidly and have a tendency to proliferate, possibly due to physiological changes in the external genitalia and the partially immunocompromised status of pregnancy, which allows for the rapid replication of HPV. 11 At least 40 of the more than 100 different types of human papillomavirus (HPV) primarily infect genital epithelium. HPV 2 and 4 are commonly found in warts on the hands, while HPV 6 and 11 are commonly found in genital warts, called condylomata acuminata.…”

Section: Introductionmentioning

confidence: 99%

Condyloma Accuminata In Pregnancy Overlapping With Bacterial Vaginosis

Widyantari,

Rozita Maharani,

Koesandrini

et al. 2023

BIKK

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Background: Human Papilloma Virus (HPV) 6 and 11 are most commonly detected in genital warts, known as condyloma acuminata. Bacterial vaginosis (BV) is the most frequent vaginal infection in women aged 15 to 44 years. There may be an association between condyloma acuminata and BV. Purpose : To report a case of condyloma accuminata in a pregnant patient with combination bacterial vaginosis. Case: A 24-year-old, 8-week pregnant woman came to the clinic with a chief complaint of multiple warts in the genital area since 3 months prior to the hospital visit. The bumps on the vulva were small, and at first only one but then spread to surrounding areas. The bumps were itchy and painful. Complaints of vaginal discharge or fluor albus of yellowish-white gray color, accompanied by itchy and a fishy odor that appeared three months ago and worsened in the last two weeks. Examination results led to the diagnosis of condyloma acuminata and BV in the patient. The patient's condition improved after being given 90% trichloroacetic acid (TCA), electrocautery, and metronidazole. Discussion: Pregnancy decreases cell-mediated immunity, which may decrease immune tolerance and local physiologic changes and ultimately increase HPV infection in pregnancy. HPV infection is associated with a vaginal microbiota imbalance, making pregnant women prone to vaginal infections such as BV. Conclusion: Condyloma accuminata and BV often occur in high-risk groups for sexually transmitted infections, one of which is pregnant women. It is necessary to screen for sexually transmitted infections (STIs) in pregnant women to prevent complications.

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A rare case of giant condyloma acuminata during pregnancy

Cited by 2 publications

References 6 publications

Condyloma acuminatum mimicking cervical cancer in a pregnant woman and treatment with cryotherapy: A case report

Condyloma acuminatum mimicking cervical cancer in a pregnant woman and treatment with cryotherapy: A case report

Condyloma Accuminata In Pregnancy Overlapping With Bacterial Vaginosis

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