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[Carcinoid papillomatosis].

J E Cardama, J C Gatti, H N Cabrera

    Medicina Cutanea Ibero-Latino-Americana
    |January 1, 1976
    PubMed
    Summary
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    Papilomatosis Carcinoides, a transitional state between benign papillomas and spindle cell carcinoma, presents diverse clinical forms. While treatments vary, antimetabolites are often effective, suggesting a potential viral etiology despite negative isolation attempts.

    Area of Science:

    • Oncology
    • Dermatology
    • Virology

    Background:

    • Papilomatosis Carcinoides is described as a transitional state between benign papillomatous proliferations and spindle cell carcinoma.
    • It encompasses various clinical conditions previously named differently, such as Buschke and Lowenstein's giant condyloma acuminatum.
    • The term Papilomatosis Carcinoides is proposed to unify cutaneous, mucosal, and semimucosal forms.

    Observation:

    • Eighteen cases were treated with diverse methods, including topical podophyllin, surgical ablations, and cytostatics like methotrexate.
    • Some cases showed slow progression over years, responding to podophyllin, while others required surgery due to chronic evolution and complications.
    • Viral papillomatous lesions are noted in veterinary pathology, with similar histology observed in rabbit oral papillomatosis.

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    Findings:

    • Antimetabolites were the preferred therapy in most cases, with radiation appearing ineffective.
    • Despite efforts, viral isolation from lesions was unsuccessful, though a viral etiology is suggested by comparative pathology.
    • A potential link to spindle cell carcinoma in areas of chronic herpes simplex virus type 2 infection is noted.

    Implications:

    • The findings support Papilomatosis Carcinoides' nosologic classification based on therapeutic responses.
    • Further research into the viral etiology of Papilomatosis Carcinoides is warranted, despite current isolation challenges.
    • Understanding this condition's relationship with other virus-associated epithelial tumors could inform future treatment strategies.