Cargando…

A perianal conundrum and its management: Condyloma versus carcinoma

INTRODUCTION: Giant condyloma acuminatum is an uncommon sexually transmitted disease. It also goes by the name Buschke–Löwenstein tumor and develops in immunocompromised patients in the anogenital area [1]. It is caused by human papillomavirus infection, subtypes 6 and 11 [2]. It grows rapidly with...

Descripción completa

Detalles Bibliográficos
Autores principales: Govindaraj, Rithvik, Govindaraj, Shrenik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9843280/
https://www.ncbi.nlm.nih.gov/pubmed/36634503
http://dx.doi.org/10.1016/j.ijscr.2022.107864
_version_ 1784870357186904064
author Govindaraj, Rithvik
Govindaraj, Shrenik
author_facet Govindaraj, Rithvik
Govindaraj, Shrenik
author_sort Govindaraj, Rithvik
collection PubMed
description INTRODUCTION: Giant condyloma acuminatum is an uncommon sexually transmitted disease. It also goes by the name Buschke–Löwenstein tumor and develops in immunocompromised patients in the anogenital area [1]. It is caused by human papillomavirus infection, subtypes 6 and 11 [2]. It grows rapidly with the destruction of local tissues, and often recurs [3]. Giant condyloma acuminatum can mimic squamous cell carcinoma. The work has been reported in line with SCARE criteria [4]. PRESENTATION OF CASE: A 44-year-old gentleman had presented with an insidious growing painless mass in the perianal region with anal canal invasion of 2 years duration. Over the last 3 months, it was associated with a rapid increase in size along with an ulcer and bleeding. He was a renal transplant recipient, on immunosuppressive therapy. The dermatologist had referred him to the surgeon with a concern of malignancy. He underwent examination under anesthesia and an incisional biopsy. The pathologist reported it as condyloma acuminata. The dermatologist had tried a few sessions of cryotherapy without success and the fear of malignancy was still lurking. He underwent wide local excision of the tumor and reconstruction of the anocutaneous junction with an advancement flap. The pathologist had reported the lesion as a large verrucous lesion consistent with condyloma acuminata. Short-term follow-up showed good continence of the anal canal and no recurrence. CONCLUSION: Giant condyloma acuminatum can mimic squamous cell carcinoma. So when in doubt and conservative treatment fails, surgical excision is a good option both for treatment and pathological confirmation.
format Online
Article
Text
id pubmed-9843280
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-98432802023-01-18 A perianal conundrum and its management: Condyloma versus carcinoma Govindaraj, Rithvik Govindaraj, Shrenik Int J Surg Case Rep Case Report INTRODUCTION: Giant condyloma acuminatum is an uncommon sexually transmitted disease. It also goes by the name Buschke–Löwenstein tumor and develops in immunocompromised patients in the anogenital area [1]. It is caused by human papillomavirus infection, subtypes 6 and 11 [2]. It grows rapidly with the destruction of local tissues, and often recurs [3]. Giant condyloma acuminatum can mimic squamous cell carcinoma. The work has been reported in line with SCARE criteria [4]. PRESENTATION OF CASE: A 44-year-old gentleman had presented with an insidious growing painless mass in the perianal region with anal canal invasion of 2 years duration. Over the last 3 months, it was associated with a rapid increase in size along with an ulcer and bleeding. He was a renal transplant recipient, on immunosuppressive therapy. The dermatologist had referred him to the surgeon with a concern of malignancy. He underwent examination under anesthesia and an incisional biopsy. The pathologist reported it as condyloma acuminata. The dermatologist had tried a few sessions of cryotherapy without success and the fear of malignancy was still lurking. He underwent wide local excision of the tumor and reconstruction of the anocutaneous junction with an advancement flap. The pathologist had reported the lesion as a large verrucous lesion consistent with condyloma acuminata. Short-term follow-up showed good continence of the anal canal and no recurrence. CONCLUSION: Giant condyloma acuminatum can mimic squamous cell carcinoma. So when in doubt and conservative treatment fails, surgical excision is a good option both for treatment and pathological confirmation. Elsevier 2022-12-31 /pmc/articles/PMC9843280/ /pubmed/36634503 http://dx.doi.org/10.1016/j.ijscr.2022.107864 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Govindaraj, Rithvik
Govindaraj, Shrenik
A perianal conundrum and its management: Condyloma versus carcinoma
title A perianal conundrum and its management: Condyloma versus carcinoma
title_full A perianal conundrum and its management: Condyloma versus carcinoma
title_fullStr A perianal conundrum and its management: Condyloma versus carcinoma
title_full_unstemmed A perianal conundrum and its management: Condyloma versus carcinoma
title_short A perianal conundrum and its management: Condyloma versus carcinoma
title_sort perianal conundrum and its management: condyloma versus carcinoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9843280/
https://www.ncbi.nlm.nih.gov/pubmed/36634503
http://dx.doi.org/10.1016/j.ijscr.2022.107864
work_keys_str_mv AT govindarajrithvik aperianalconundrumanditsmanagementcondylomaversuscarcinoma
AT govindarajshrenik aperianalconundrumanditsmanagementcondylomaversuscarcinoma
AT govindarajrithvik perianalconundrumanditsmanagementcondylomaversuscarcinoma
AT govindarajshrenik perianalconundrumanditsmanagementcondylomaversuscarcinoma