Giant condyloma acuminatum

Giant condyloma acuminatum (also known as a Buschke–Löwenstein tumor[1]) is a rare cutaneous condition characterized by an aggressive, wart-like growth that is a verrucous carcinoma.[2]:409 It is attributed to human papillomavirus.[3]

Giant condyloma acuminatum
Other namesGiant condyloma of Buschke–Löwenstein tumor
Man, aged 63, with a massive cauliflower-like penile mass with several urinary fistulae making the penile shaft indistinguishable.
SpecialtyInfectious disease 

Due to their size, these tumors can be locally invasive and destructive. Owing to their impressive growth patterns, Buschke-Löwenstein tumors displace and destroy adjacent structures from compression.[4]In general these masses are benign, but the potential for malignant transformation to squamous cell carcinoma (SCC) exists in the long term, as does the rare risk for metastasis[5][6][7][8]. Buschke-Löwensteoin tumors are frequently associated with HPV subtypes 6 and 11.[4]

Treatment involves surgical resection and possible chemoradiotherapy.[6][8][7] Although penile sparing is the goal, total penectomy may be required. They have high recurrence rates; therefore, close follow-up is crucial.[4]


See also

References
  1. Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 978-1-4160-2999-1.
  2. James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
  3. "Condyloma Acuminata". Retrieved 2010-09-22.
  4. Pettaway CA, Crook JM, Pagliaro LC. Tumors of the penis. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: ch 37.
  5. 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 Feb;2014:18(1):27-36. Available at: https://onlinelibrary.wiley.com/doi/full/10.1111/1744-1633.12047. Accessed April 15, 2020.
  6. Kim HG, Kesey JE, Griswold JA. Giant anorectal condyloma acuminatum of Buschke-Löwenstein presents difficult management decisions. J Surg Case Rep. 2018 Apr 3;2018(4):rjy058. PMID: 29644039
  7. Venter F, Heidari A, Viehweg M, Rivera M, Natarajan P, Cobos E. Giant condylomata acuminata of Buschke-Lowenstein associated with paraneoplastic hypercalcemia. J Investig Med High Impact Case Rep. 2018 Feb 15;6:2324709618758348. PMID: 29479542
  8. Papapanagiotou IK, Migklis K, Ioannidou G, et al. Giant condyloma acuminatum-malignant transformation. Clin Case Rep. 2017 Feb 23;5(4):537-8. PMID: 28396786


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