Giant Anorectal Condyloma Acuminatum of Buschke–Lowenstein: Successful Plastic Reconstruction with Bilateral Gluteal Musculocutaneous V-Y Advancement Flap

Abstract

A 58-year-old male patient presented with an anorectal verrucous carcinoma, also known as BuschkeLowenstein tumor. Clinically, the lesion of the patient best resembled giant condyloma acuminatum with a cauliflowerlike appearance. The diagnosis was confirmed with biopsy and an abdominoperineal resection was performed. The perineal defect was reconstructed with bilateral gluteal musculocutaneous V-Y advancement flap. Both functional and cosmetic results 6 years after the operation were excellent. To date, no recurrence has been noted. As long as one is aware of its existence and of its characteristic appearances, the Buschke-Lowenstein tumor is fairly easily diagnosed. The treatment of choice remains surgical resection, and adequate follow-up is essential.

Tumor de Buschke-Lowenstein: Presentación de un caso y revisión de la literatura

“…Los factores de riesgo para desarrollar TBL son: la falta de higiene, la promiscuidad, los estados de inmunosupresión, entre ellos la infección por virus de inmunodeficiencia humana (VIH), la presencia de irritación crónica, la condilomatosis recidivante y el uso de corticoides o inmunomoduladores (11,12). Estos factores explican en parte su mayor incidencia en poblaciones homo y bisexual, y su comportamiento recurrente y agresivo en pacientes VIH positivos (13).…”