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[Giant scrotal condyloma acuminata: a case report]
R Rabii1, A Joual, B Bellabidia
1Service d'urologie, CHU Ibn-Rochd, Casablanca, Maroc.
Annales D'Urologie
|March 10, 2001
Summary
A case of giant condyloma acuminatum (Buschke-Lowenstein tumor) in a 50-year-old male was successfully treated with complete surgical resection. Human papillomavirus was detected, but no malignant transformation occurred, with no recurrence at 16 months.
Area of Science:
- Urology
- Dermatology
- Oncology
Background:
- Giant condyloma acuminatum (Buschke-Lowenstein tumor) is a rare, aggressive human papillomavirus (HPV)-related genital wart.
- Distinguishing benign condyloma from malignant transformation (squamous cell carcinoma) can be challenging.
- This case highlights the diagnostic and therapeutic considerations for this rare scrotal tumor.
Observation:
- A 50-year-old male presented with a large, warty scrotal lesion mimicking giant condyloma acuminatum.
- HIV serology was negative, but HPV testing was positive.
- The tumor was surgically resected in its entirety.
Findings:
- Histopathology confirmed condyloma acuminatum without evidence of squamous cell carcinoma.
- The patient experienced a favorable clinical course post-surgery.
- No local recurrence was noted during a 16-month follow-up period.
Implications:
- Complete surgical resection is an effective treatment for scrotal giant condyloma acuminatum.
- Regular follow-up is crucial to monitor for recurrence.
- Early and accurate diagnosis is essential to prevent potential malignant progression.