Successful treatment of buschke-löwenstein tumour by surgical excision alone

Abstract

A 48-year-old man presented with multiple warts in groin for 1 year, which progressively increased in size. Local examination showed large vegetative growth in perianal area. Full thickness excision of involved skin and lesions was undertaken by electrocautery. Entire wound was left open to heal by secondary intention. Histopathological examination suggested Buschke-Löwenstein tumour. Postoperative follow-up for more than 2 years showed the absence of any recurrence.

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

“…Estos corresponden a una serie de casos (16), 18 reportes de caso (2, 5, 6, 8, 13, 17-29) y un artículo de revisión (30). De estos, 7 son descritos en Latinoamérica (2,6,8,16,18,19), 4 en Asia (5,22,24,27), 6 en Europa (13,21,23,25,26,29) y 3 en Norteamérica (17,20,28). Los reportes de caso incluyen solo hombres en 10 reportes (2,5,13,16,17,19,(25)(26)(27)29), solo mujeres en 8 reportes de casos (6,8,18,20,21,22,24,28), y sujetos de ambos sexos en 2 reportes de caso (9,23).…”

“…Los pacientes por lo general consultan por aparición de masa a nivel genital, de crecimiento lento, que puede asociarse a dificultad para la micción o la defecación, según compromiso; dificultad para la marcha, dificultad para las relaciones sexuales, además de olor fétido, sangrado, prurito y, en ocasiones, dolor (2,5,14,17). El hallazgo al examen físico en la mayoría de los estudios fue una lesión eritematosa, exofítica, con aspecto de tumor vegetativo, superficie multilobulada, friable, que puede ser de cualquier tamaño, encontrándose lesiones desde 4 cm hasta 30 a 40 cm, que pueden ser dolorosas a la palpación, con secreción o no de pus, mal olor y, dependiendo de la extensión, pueden comprometer diferentes zonas tales como: pene (16,25,27) y escroto (29), vulva (8,18,20,22,24), uretra (18,28), región perianal (2, 8, 13, 16, 17, 19-21, 23, 24, 26, 29), región inguinal (8,16), región glútea (20), ano (5,16,20,23,24,26) y vagina (6,24).…”

Giant Condyloma (Buschke-Loewenstein Tumor) in a 16-year-old Patient: Case Report

“…A wide surgical excision, healing by secondary intention, or radical local excision with reconstruction of skin defects have been the main treatments described. 13 Other treatments with CO2 laser, radiation therapy, intralesional injection of interferon alfa or topical imiquimod can be used as an alternative treatment, especially in cases where surgical resection can be mutilating in cases of locally advanced disease, which prevents the resection with safety margins in patients without clinical conditions to perform surgery. 14 A long postoperative follow-up is necessary because the disease has a high rate of recurrence, and early treatment of recurrent lesions must be performed.…”

Giant Condyloma Acuminatum: A Surgical Riddle

“…The local destruction can lead to pain, perianal abscess, fistulas and bleeding. Invasive carcinoma is frequently seen in giant condyloma acuminatum, which is present in half of the cases whereas dysplasia or carcinoma in situ is present in eight percent and rest of the cases have no evidence of invasion (9,12).…”