Verrucous carcinoma (Buschke–Lowenstein) arising in a sacrococcygeal pilonidal sinus tract: report of a case

Case Management and Clinical Consequences

Abstract

Purpose

Pilonidal sinus disease is usually located in the sacrococcygeal region. Verrucous carcinoma (Buschke–Lowenstein) is a rare variant of squamous cell carcinoma with distinct clinical and histopathologic features, with a favorable prognosis. Malignant degeneration is an infrequent complication, which is associated with a high recurrence rate and poor prognosis.

Materials and methods

A case report is presented.

Results

We report a 48-year-old man with a 10-year history of recurrent pilonidal sinus disease presented with a sacrococcygeal verrucous carcinoma arising in the pilonidal sinus tract and associated with good prognosis. After operation, a 5-year disease-free follow-up was observed.

Conclusion

Careful inspection of the pilonidal area in all chronic and long-standing inflammatory processes is important and should be evaluated for malignant transformation.

Keywords

Buschke–Lowenstein Verrucous carcinoma Pilonidal sinus disease 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Department of General SurgeryEtimesgut Military HospitalAnkaraTurkey
  2. 2.Department of PathologyEtimesgut Military HospitalAnkaraTurkey
  3. 3.GATA Genel Cerrahi ADAnkaraTurkey

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