Buschke-Löwenstein Tumor of the Anal Region

Abstract

Giant invasive condyloma acuminatum, also known as Buschke-Löwenstein tumor, is a human papilloma virus (HPV) type 6 or 10-associated lesion which is rarely seen in the anorectum. These lesions despite their histologic benignity are clinically malignant with a propensity for recurrence and invasion. The aggressive character of this lesion and its likelihood of malignant transformation together with the associated significant mortality require early surgical excision with clear margins. Authors report on a patient with giant perianal condyloma acuminatum who was treated in a single session by total excision and fasciocutaneous VY advancement flap.