Autori: HS. Papiu , A. Dumnici , T. Olariu , M. Onita , E. Hornung , D. Goldis , G. Aiordachioae , V. Vasca

Editorial: Celsius, Chirurgia , nr. 4, iulie august, 106, p.535-539, 2011.

Rezumat:

Abstract
Giant condyloma acuminatum, also known as BuschkeLöwenstein tumor (BLT) is a very rare sexually transmitted
disease that affects the ano-genital region. BLT is a slow
growing cauliflower-like tumor, but unlike simple condyloma,
it is locally aggressive and destructive, malignant transformation occuring in 40-60% of cases. We present a case of perianal
carcinomatous BLT and discuss some controversies about the
nature and treatment of this disease. Our aim is to emphasize
some basic points in the management of giant perianal condyloma acuminatum.
Conclusions: The patient with BLT must be very carefully
clinical and imagistic investigated in order to detect the
tumor visceral invasion and to establish the extension of the
surgical procedure. Wide perineal excision with histopathological margins control is the best surgical choice if the anal
canal is not involved. The radical pelvic surgery is indicated
only in patients with provable visceral invasion. Excision is
mandatory even in very small condilomas to prevent BLT
later development.

Cuvinte cheie: condilomatozã gigantã, boala BūschkeLöwenstein, excizie perinealã largã // giant condyloma acuminatum, BuschkeLöwenstein tumor, wide perineal excision