Experience of Wide Local Excision of Perianal Giant Condyloma Acuminatum without Immediate Surgical Reconstruction: A Case Report

Abstract

Giant condyloma acuminatum or Buschke-Lowenstein tumor is characterized by its large size and is prone to infiltrating into underlying tissues although it is microscopically benign. It commonly affects the genitalia. Cases of perianal giant condyloma acuminatum are reported sporadically in English literature. In Taiwan, only two cases of perianal giant condyloma acuminatum was found in literature. We report a rare case of perianal giant condyloma acuminatum in a 62-year-old, non-homosexual, married man. There was a 6 x 6 x 4 cm fungating circum-anal mass extending into his scrotal area. In addition, more than two-thirds confluent anal condylomata were involved. He received wide local excision for the lesion. Pathology studies confirmed a diagnosis consistent with condyloma acuminatum. Four months later, his wound healed by secondary intention. After follow-up for one year and eight months, no anorectal recurrent condyloma has been found. The patient had no anal stenosis or incontinence.