DOI: 10.36347/sjmcr.2015.v03i10.002

Pages: 935-938

Giant condyloma acuminatum, also known as Buschke-Löwenstein tumor (BLT) is a very rare sexually transmitted disease that affects the ano-genital region. This tumor has a locally destructive behavior, a high recurrence rate and occasional transformation to squamous cell carcinoma. Risk factors include anoreceptive intercourse, HIV and immunosuppression. We present a case of perianal BLT and discuss about the nature and treatment of this disease. Our aim is to emphasize some basic points in the management of giant perianal condyloma acuminatum. The patient with BLT must be very carefully assessed clinically and imagistic investigated in order to detect the tumor visceral invasion and to establish the extension of the surgical procedure. Wide perineal excision with negative margins is the best surgical choice if the anal canal is not involved. The radical pelvic surgery is indicated only in patients with proved visceral invasion. Excision is mandatory even in very small condylomas to prevent BLT later.