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Giant Anorectal Condyloma Acuminatum of Buschke–Lowenstein: Successful Plastic Reconstruction with Bilateral Gluteal Musculocutaneous V-Y Advancement Flap

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Abstract

A 58-year-old male patient presented with an anorectal verrucous carcinoma, also known as Buschke–Lowenstein tumor. Clinically, the lesion of the patient best resembled giant condyloma acuminatum with a cauliflower-like appearance. The diagnosis was confirmed with biopsy and an abdominoperineal resection was performed. The perineal defect was reconstructed with bilateral gluteal musculocutaneous V-Y advancement flap. Both functional and cosmetic results 6 years after the operation were excellent. To date, no recurrence has been noted. As long as one is aware of its existence and of its characteristic appearances, the Buschke–Lowenstein tumor is fairly easily diagnosed. The treatment of choice remains surgical resection, and adequate follow-up is essential.

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References

  1. Schwartz RA (1995) Verrucous carcinoma of the skin and mucosa. J Am Acad Dermatol 32:1–21

    Article  CAS  PubMed  Google Scholar 

  2. Mestrović T, Cavcić J, Martinac P, Turcić J, Zupancić B, Cavcić AM, Jelincić Z (2003) Reconstruction of skin defects after radical excision of anorectal giant condyloma acuminatum: 6 cases. J Eur Acad Dermatol Venereol 17:541–545

    Article  PubMed  Google Scholar 

  3. Oh C, Albanese C (1992) S-plasty for various anal lesions. Am J Surg 163:606–608

    Article  CAS  PubMed  Google Scholar 

  4. Uribe N, Millan M, Flores J, Asencio F, Díaz F, Del Castillo JR (2004) Excision and V-Y plasty reconstruction for giant condyloma acuminatum. Tech Coloproctol 8:99–101

    CAS  PubMed  Google Scholar 

  5. Bishara B, Eitan A, Barzilai A (1991) Malignant transformation of perianal condyloma acuminatum. Harefuah 121:230–231

    CAS  PubMed  Google Scholar 

  6. Dolanc R, Kocher T, Langer I, Marti WR, Pierer G, Harder F (2002) Malignant transformation of perianal Buschke–Löwenstein tumor. Extensive abdominoperineal rectum excision and reconstruction with transpelvic myocutaneous rectus abdominis muscle flap. Chirurg 73:370–374

    Article  CAS  PubMed  Google Scholar 

  7. Sasaki K, Nozaki M, Kikutchi Y, Yamaki T, Soejima K (1999) Reconstruction of perianal skin defect using a V-Y advancement of bilateral gluteus maximus musculocutaneous flaps: reconstruction considering anal cleft and anal function. Br J Plast Surg 52:471–475

    Article  CAS  PubMed  Google Scholar 

  8. Chu QD, Vezeridis MP, Libbey NP, Wanebo HJ (1994) Giant condyloma acuminatum (Buschke–Lowenstein tumor) of the anorectal and perineal regions. Analysis of 42 cases. Dis Colon Rectum 37:950–957

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Zafer Teke.

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Ulas, M., Bostanci, E.B., Teke, Z. et al. Giant Anorectal Condyloma Acuminatum of Buschke–Lowenstein: Successful Plastic Reconstruction with Bilateral Gluteal Musculocutaneous V-Y Advancement Flap. Indian J Surg 75 (Suppl 1), 168–170 (2013). https://doi.org/10.1007/s12262-012-0579-4

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  • DOI: https://doi.org/10.1007/s12262-012-0579-4

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