Radical surgical management of perianal giant condyloma acuminatum of Buschke and Lowenstein: long-term results of 11 cases

Yildiz A., LEVENTOĞLU Ö. S., Yildiz A., İNAN M. A., Mentes B. B.

ANNALS OF COLOPROCTOLOGY, vol.39, no.3, pp.204-209, 2023 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 3
  • Publication Date: 2023
  • Doi Number: 10.3393/ac.2021.00080.0011
  • Journal Name: ANNALS OF COLOPROCTOLOGY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
  • Page Numbers: pp.204-209
  • Acibadem Mehmet Ali Aydinlar University Affiliated: Yes

Abstract

Purpose: Perianal Buschke-Lowenstein tumor (BLT) is characterized by an exophytic cauliflower-like mass surrounding the perianal region. Its tendency to infiltrate the adjacent tissues, its massiveness, and its high recurrence rate cause diffi-culties in treatment. The aim of this study is to report our strategy with wide local excision and flap reconstruction for BLT.Methods: From November 2002 to June 2019, 11 patients (9 men) with a mean age of 33.45 years (range, 19-54 years) were operated on for BLT. All patients underwent wide local excision and V-Y flap reconstruction, supplemented with other flaps whenever needed. No additional modalities were used.Results: Two patients had a history of anal intercourse while all patients were human immunodeficiency virus-negative. The mean tumor length was 15.54 & PLUSMN; 1.34 cm (range, 10-26 cm). Human papillomavirus 6 was the most common type identified. Partial wound dehiscence developed in 3 patients, while anal stenosis, mucosal ectropion, or local recurrence was not observed during the mean follow-up period of 50.45 & PLUSMN; 1.75 months (range, 10-196 months).Conclusion: In patients with perianal BLT, wide local excision and flap reconstruction result in a high healing rate without significant complications.