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Published on: November 8, 2015
Human Papillomavirus-Associated Invasive Condylomas in a Man with Immunosuppressive Comorbidities
Philip Zeuschner1, Stefan Ueberdiek2, Alexey Pryalukhin3
1Department of Urology and Pediatric Urology, Saarland University, Homburg, GermanyPhilip.zeuschner@uks.eu.
Abstract:
Human papilloma virus (HPV) infections are one of the most common sexually transmitted diseases. We present the case of a 77-year-old Caucasian male with enormous genital warts of the penis, scrotum, groins and anus. Lesions were excised by electrosurgery. The histological examination revealed Condylomata gigantea as well as an invasive perianal squamous cell carcinoma. Mucosal "low-risk" HPV type 6 was detected. The patient had a history of an immunosuppressing disease. During the 4-year follow-up, multiple relapses occurred. Thus, particularly in immunosuppressed patients, early prophylactic HPV vaccination seems to be indicated for use in the prevention of HPV-associated mutilating and life-threatening disease. Vaccination should also protect from "low-risk" HPV.
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