Management of Giant Ano-Vulvar Condyloma in a Structure with Limited Resources

Mian Dehi Boston,Djanhan Lydie,Guié Privat,Kouakou Firmin,Dia Jean Marc,N’Guessan Koffi,Abauleth Yao Raphael,Boni Serges

doi:10.4236/ojog.2017.711113

Abstract

Buschke-Lowenstein Tumor (BLT) or Giant Acuminate Condyloma (GAC) is an uncommon clinical entity rarely published in Cote d’Ivoire and Africa. It is a viral infection with increasing sexual transmission due to the resurgence of HIV infection. This observation is the first case recorded in our service in three decades. The treatment is resolutely surgical, in our context of sub-medicalization, in the absence of other therapeutic means. Most of the time the progression is favorable, but the prognosis can be aggravated by the HIV coinfection. Through this observation, the authors insist on the prevention of all sexually transmitted infections, particularly, with HPV and HIV, by sexual education (abstinence, fidelity, port of condom) and the systematic vaccination before any sexual activity.

Highlights

The Giant Acuminate Condyloma (GAC) or Buschke-Lowenstein Tumor (BLT) is a benign and rare clinical entity of viral origin with exclusive sexual transmission [1] [2]
Buschke-Lowenstein Tumor (BLT) or Giant Acuminate Condyloma (GAC) is an uncommon clinical entity rarely published in Côte d’Ivoire and Africa. It is a viral infection with increasing sexual transmission due to the resurgence of HIV infection
The authors insist on the prevention of all sexually transmitted infections, with Human Papilloma Virus (HPV) and HIV, by sexual education and the systematic vaccination before any sexual activity

Summary

Introduction

The Giant Acuminate Condyloma (GAC) or Buschke-Lowenstein Tumor (BLT) is a benign and rare clinical entity of viral origin with exclusive sexual transmission [1] [2]. It is a destructive and infiltrating local tumor, with “cauliflower” appearance, induced by a latent infection with the Human Papilloma Virus (HPV), in particular strains 6 and 11 and incidentally phenotypes 16 and 18 [3] [4] [5] [6]. Even if the GAC presents the histological characteristics of a totally benign tumor, it is presented in a macroscopic aspect giving it the appearance of an infiltrating malignant lesion.

Observation

Discussion

Findings

Conclusion