DOI: 10.36347/sasjs.2020.v06i03.005

Pages: 111-115

Condyloma acuminata, or anogenital warts, caused by human papillomavirus are a common sexually transmitted disease. In rare cases, the disease could progress to an extensive neoplasm called Buschke–Löwenstein tumour (BLT), also known as giant condyloma acuminatum. BLT differs from normal condyloma acuminata by presenting with locally invasive growth, lack of spontaneous resolution, and tendency for recurrence after treatment and potential for malignant 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. 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.