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Giant Condyloma Acuminatum of Vulva Frustrating Treatment Challenge.

Niazy F, Rostami K, Motabar AR - World J Plast Surg (2015)

Bottom Line: She presented with 15 years history of slowly progressive vulval lesion and associated itching, contact bleeding, malodorous vaginal discharge and difficulty in walking.She had previously been treated with podophyllin and cryosurgery without success.The growth measured 30×10 cm in each side and was successfully excised with no evidence of malignancy concomitant and reconstruction also done.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Surgery, Shahid Beheshti University of Medical Sciences, Modaress Hospital, Tehran, Iran.

ABSTRACT
Giant condylomata are not usually seen nowadays in developed nations, but such cases are still seen in the under-resourced countries. Condylomata acuminata are commonly transmitted through sexual intercourse. Generally diagnosed based on their appearance. Giant condyloma acuminata also named Buschke- Löwenstein tumour (BLT) is a slow growing cauliflower-like tumor, locally aggressive and destructive, with possible malignant transformation. Common clinical treatment of anogenital warts is conservative, however, in extreme cases conservative therapy is insufficient and surgical excision is required. A case of common presentation of giant condylomata in a 50 years old, divorced, multiparous woman is presented and the literature is reviewed. She presented with 15 years history of slowly progressive vulval lesion and associated itching, contact bleeding, malodorous vaginal discharge and difficulty in walking. She had previously been treated with podophyllin and cryosurgery without success. The growth measured 30×10 cm in each side and was successfully excised with no evidence of malignancy concomitant and reconstruction also done.

No MeSH data available.


Related in: MedlinePlus

Patient with giant condyloma prior to reconstructive surgery
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Figure 1: Patient with giant condyloma prior to reconstructive surgery

Mentions: A 50-year-old female presented with cauliflower-like growth over the uvula region. The growth had been diagnosed previously as condyloma acuminatum which was resistant to conservative therapy (Figure 1). The patient was 35-year-old when she first noted the lesion and did not seek any medical help. Two years later she became pregnant and during pregnancy period, she received conservative treatment and lesion disappeared after her delivery, After 2 years during the first trimester of the patient’s second pregnancy, warts appeared for the second time with altered clinical presentation; spread across the entire uvula region she underwent cryosurgery, but with no significant improvement and she did not any regular follow up so far.


Giant Condyloma Acuminatum of Vulva Frustrating Treatment Challenge.

Niazy F, Rostami K, Motabar AR - World J Plast Surg (2015)

Patient with giant condyloma prior to reconstructive surgery
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4537608&req=5

Figure 1: Patient with giant condyloma prior to reconstructive surgery
Mentions: A 50-year-old female presented with cauliflower-like growth over the uvula region. The growth had been diagnosed previously as condyloma acuminatum which was resistant to conservative therapy (Figure 1). The patient was 35-year-old when she first noted the lesion and did not seek any medical help. Two years later she became pregnant and during pregnancy period, she received conservative treatment and lesion disappeared after her delivery, After 2 years during the first trimester of the patient’s second pregnancy, warts appeared for the second time with altered clinical presentation; spread across the entire uvula region she underwent cryosurgery, but with no significant improvement and she did not any regular follow up so far.

Bottom Line: She presented with 15 years history of slowly progressive vulval lesion and associated itching, contact bleeding, malodorous vaginal discharge and difficulty in walking.She had previously been treated with podophyllin and cryosurgery without success.The growth measured 30×10 cm in each side and was successfully excised with no evidence of malignancy concomitant and reconstruction also done.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Surgery, Shahid Beheshti University of Medical Sciences, Modaress Hospital, Tehran, Iran.

ABSTRACT
Giant condylomata are not usually seen nowadays in developed nations, but such cases are still seen in the under-resourced countries. Condylomata acuminata are commonly transmitted through sexual intercourse. Generally diagnosed based on their appearance. Giant condyloma acuminata also named Buschke- Löwenstein tumour (BLT) is a slow growing cauliflower-like tumor, locally aggressive and destructive, with possible malignant transformation. Common clinical treatment of anogenital warts is conservative, however, in extreme cases conservative therapy is insufficient and surgical excision is required. A case of common presentation of giant condylomata in a 50 years old, divorced, multiparous woman is presented and the literature is reviewed. She presented with 15 years history of slowly progressive vulval lesion and associated itching, contact bleeding, malodorous vaginal discharge and difficulty in walking. She had previously been treated with podophyllin and cryosurgery without success. The growth measured 30×10 cm in each side and was successfully excised with no evidence of malignancy concomitant and reconstruction also done.

No MeSH data available.


Related in: MedlinePlus