Successful ablation of giant condyloma acuminata in an adolescent

Shikhar Ganjoo,Pratiksha Mishra,Mps Sawhney

doi:10.7241/ourd.20214.18

Abstract

Condyloma acuminata are usually associated with persistent and recurrent infections and early surgical intervention is often required to prevent recurrences. The Buschke–Löwenstein tumor, a locally invasive, slow-growing, cauliflower-like growth, is an example of a giant condyloma acuminatum. Herein, we report a case of sexually-acquired perianal giant condyloma acuminata in a fourteen-year-old male successfully treated by electrofulguration with radiofrequency cautery under general anesthesia in a single session with no evidence of recurrence over a follow-up period of six months.

Highlights

Transmitted diseases, such as genital warts, genital herpes, syphilis, human immunodeficiency virus (HIV) infection, are a worldwide health concern, with most of the patients 15 to 29 years old [1]
Giant perianal condyloma in a child mandates thorough sexual history-taking to rule out a sexual history and abuse
Surgical ablation of the entire lesion should be attempted in one sitting

Summary

INTRODUCTION

Transmitted diseases, such as genital warts, genital herpes, syphilis, human immunodeficiency virus (HIV) infection, are a worldwide health concern, with most of the patients 15 to 29 years old [1]. The Buschke–Löwenstein tumor—a rare STD characterized by verrucous lesions on the genitals and/or the perianal region—most commonly occurs due to HPV types 6 and 11 [4], and most commonly affecting adult males; some case reports mention adult females and children [5]. We report a case of giant condyloma acuminata successfully ablated with radiofrequency cautery under general anesthesia. A fourteen-year-old male presented himself to the department of dermatology with the chief complaint of a massive asymptomatic cauliflower-like growth in the perianal area persistent for the previous four months. A clinical examination revealed a hyperkeratotic, verrucous tumor 5 × 4 cm in size in the perianal area (Fig. 1). With radiofrequency cautery in a major operation theatre under general anesthesia (Fig. 3). The perianal wound healed in two weeks without stricture formation or other complications (Fig. 4)

DISCUSSION

CONCLUSION