Advertisement

A Giant Anorectal Condyloma Is Not Synonym of Malignancy

  • Meriem El BessiEmail author
  • Wejih Dougaz
  • Meriem Jones
  • Hichem Jerraya
  • Chadli Dziri
Case Report
  • 14 Downloads

Introduction

Anorectal giant condyloma acuminatum (GCA) or Buschke and Loewenstein tumor is a very rare sexually transmitted condition caused by Human Papillomavirus (HPV) infection which prevalence is around 0.1% among sexually active adults [1, 2]. GCA is a condition that has not been very well documented. All the literature we dispose of is based on case reviews and case reports. GCA was frequently described as a tumor because of its clinical aggressivity, contrasting with histological benignity [3]. It is also known for its high recurrence rate which is around 66% [4, 5] and its potential for malignant transformation (56%) [4]. The consequence of these features is the variability of treatment ranging from non-surgical treatment to mutilating surgery [6]. The purpose of this work is to present a case.

Case Presentation

A 30-year-old heterosexual male presented to our department with a large perianal tumor. We have no precise knowledge regarding the time span it took the lesion to...

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Gillard P, Vanhooteghem O, Richert B, De La Brassinne M. Tumeur de Buschke-Löwenstein. Ann Dermatol Venereol. 2005;132(1):98–9.CrossRefGoogle Scholar
  2. 2.
    Elmejjad A, Dakir M, Tahiri M, et al. Le condylome acuminé géant - tumeur de Buschke Lowenstein (à propos de 3 cas). Prog Urol. 2003;13(3):513–7.Google Scholar
  3. 3.
    Buschke A, lowenstein L. Uber karzinom ähnliche condylomata acuminata des penis. Klin Wochenschr. 1925;4:1726–8.CrossRefGoogle Scholar
  4. 4.
    Chu QD, Vezeridis MP, Libbey NP, Wanebo HJ. Giant condyloma acuminatum (Buschke-Lowenstein tumor) of the anorectal and perianal regions analysis of 42 cases. Dis Colon Rectum. 1994;37:950–7.CrossRefGoogle Scholar
  5. 5.
    Trombetta LJ, Place RJ. Giant condyloma acuminatum of the anorectum: trends in epidemiology and management: report of a case and review of the literature. Dis Colon Rectum. 2001;44(12):1878–86.CrossRefGoogle Scholar
  6. 6.
    Safi F, Bekdache O, Al-Salam S, Alashari M, Mazen T. Giant condyloma acuminatum of Buschke–Lowenstein tumour: disease development between 2000 and 2010. Surg Pract. 2014;18:27–36.CrossRefGoogle Scholar
  7. 7.
    De Toma G, Cavallaro G, Bitonti A, Polistena A, Giuseppina Onesti M, Scuderi N. Surgical management of perianal giant condyloma acuminatum (Buschke-Löwenstein tumor) report of three cases. Eur Surg Res. 2006;38:418–22.CrossRefGoogle Scholar
  8. 8.
    Ejeckman GC, Idikio HA, Nayak V, Gardiner JP. Malignant transformation in an anal condyloma acuminatum. Can J Surg. 1983;26:170–3.Google Scholar
  9. 9.
    Hull MT, Eble JN, Priest JB, Mulcahy JJ. Ultrastructure of Buschke-Loewenstein tumor. J Urol. 1981;126:485–9.CrossRefGoogle Scholar
  10. 10.
    Hemper E, Wittau E, Lemke J, Kornmann M. Management of a giant perineal condylomata acuminata. In: GMS Interdiscip Plast Reconstr Surg DGPW, vol. 21; 2016. p. 5. Doc07.Google Scholar
  11. 11.
    Ahsaini M, Tazi Y, Tazi MF, et al. Varrucous carcinoma arising in an extended giant condyloma acuminatum (buschke-lovenstein tumor): a case report and review of the literature. JMED Case Rep. 2013;7:1–5.CrossRefGoogle Scholar
  12. 12.
    Creasman C, Haas PA, Fox TA, Balazs M. Malignant transformation of anorectal giant condyloma acuminatum (BuschkeLowenstein tumor). Dis Colon Rectum. 1989;32:481–7.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.University of Tunis El Manar, Faculty of Medicine of Tunis, Department « B » of General SurgeryCharles Nicolle HospitalTunisTunisia
  2. 2.University of Tunis El Manar, Faculty of Medicine of Tunis, Department of DermatologyCharles Nicolle HospitalTunisTunisia

Personalised recommendations