Buschke-Löwenstein Tumour: Successful Treatment with Minimally Invasive Techniques
We report a case of an 80-year-old female who presented with a four-year history of a growing mass in the perianal area with pain and bleeding during defaecation. Clinical examination revealed a locally destructive, cauliflower-like, verrucous mass measuring 10 × 12 cm in diameter. Histologic findin...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Dermatological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/651703 |
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| author | Estefânia Correia António Santos |
| author_facet | Estefânia Correia António Santos |
| author_sort | Estefânia Correia |
| collection | DOAJ |
| description | We report a case of an 80-year-old female who presented with a four-year history of a growing mass in the perianal area with pain and bleeding during defaecation. Clinical examination revealed a locally destructive, cauliflower-like, verrucous mass measuring 10 × 12 cm in diameter. Histologic findings revealed a moderate degree of dysplasia of the epithelium with koilocytosis atypia, acanthosis, and parakeratosis, features that are consistent with Buschke-Löwenstein tumour. Polymerase-chain-reaction assay for human papillomavirus (HPV) showed an infection with HPV type 11. Full-thickness excision of involved skin was undertaken by cryotherapy and electrocautery over five months. The entire wound was left open to heal by secondary intention. After 3 years of follow-up, the patient has not experienced a recurrence, with excellent functional results, but the cosmetic results were satisfactory. These minimally invasive techniques can be safer and more cost-effective than surgery and the General Practitioner can play a key role in diagnosis. |
| format | Article |
| id | doaj-art-9dc4047c049343f3a8345527c736d646 |
| institution | Kabale University |
| issn | 2090-6463 2090-6471 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dermatological Medicine |
| spelling | doaj-art-9dc4047c049343f3a8345527c736d6462025-02-03T05:59:06ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712015-01-01201510.1155/2015/651703651703Buschke-Löwenstein Tumour: Successful Treatment with Minimally Invasive TechniquesEstefânia Correia0António Santos1Family Practice Unit of Pedras Rubras, Rua Divino Salvador de Moreira 160, 4470-105 Maia, PortugalDepartment of Dermatology, Portuguese Institute of Oncology, PortugalWe report a case of an 80-year-old female who presented with a four-year history of a growing mass in the perianal area with pain and bleeding during defaecation. Clinical examination revealed a locally destructive, cauliflower-like, verrucous mass measuring 10 × 12 cm in diameter. Histologic findings revealed a moderate degree of dysplasia of the epithelium with koilocytosis atypia, acanthosis, and parakeratosis, features that are consistent with Buschke-Löwenstein tumour. Polymerase-chain-reaction assay for human papillomavirus (HPV) showed an infection with HPV type 11. Full-thickness excision of involved skin was undertaken by cryotherapy and electrocautery over five months. The entire wound was left open to heal by secondary intention. After 3 years of follow-up, the patient has not experienced a recurrence, with excellent functional results, but the cosmetic results were satisfactory. These minimally invasive techniques can be safer and more cost-effective than surgery and the General Practitioner can play a key role in diagnosis.http://dx.doi.org/10.1155/2015/651703 |
| spellingShingle | Estefânia Correia António Santos Buschke-Löwenstein Tumour: Successful Treatment with Minimally Invasive Techniques Case Reports in Dermatological Medicine |
| title | Buschke-Löwenstein Tumour: Successful Treatment with Minimally Invasive Techniques |
| title_full | Buschke-Löwenstein Tumour: Successful Treatment with Minimally Invasive Techniques |
| title_fullStr | Buschke-Löwenstein Tumour: Successful Treatment with Minimally Invasive Techniques |
| title_full_unstemmed | Buschke-Löwenstein Tumour: Successful Treatment with Minimally Invasive Techniques |
| title_short | Buschke-Löwenstein Tumour: Successful Treatment with Minimally Invasive Techniques |
| title_sort | buschke lowenstein tumour successful treatment with minimally invasive techniques |
| url | http://dx.doi.org/10.1155/2015/651703 |
| work_keys_str_mv | AT estefaniacorreia buschkelowensteintumoursuccessfultreatmentwithminimallyinvasivetechniques AT antoniosantos buschkelowensteintumoursuccessfultreatmentwithminimallyinvasivetechniques |