Annals of Coloproctology

Original Article

Anorectal benign disease

Radical surgical management of perianal giant condyloma acuminatum of Buschke and Löwenstein: long-term results of 11 cases: Alp Yildiz, Sezai Leventoglu, Aybala Yildiz, Arda Inan, Bedrettin Bulent Mentes; Ann Coloproctol. 2023;39(3):204-209. Published online August 23, 2021; DOI: https://doi.org/10.3393/ac.2021.00080.0011

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Purpose
Perianal Buschke-Löwenstein 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 difficulties 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 ± 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 ± 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.

Citations

Citations to this article as recorded by

An Anal Lesion in a 27-Year-Old Patient
Jérémy Baude, Hugues Mura, Alexis Lépinoy
JAMA Oncology.2024; 10(10): 1437. CrossRef
Clinicopathological Findings and Comprehensive Review of Buschke–Lowenstein Tumors Based on a Case Study
Andreea Grosu-Bularda, Cristian-Sorin Hariga, Catalina-Stefania Dumitru, Nicolae Calcaianu, Cosmin-Antoniu Creanga, Valentin Enache, Silvia-Elena Tache, Eliza-Maria Bordeanu-Diaconescu, Vladut-Alin Ratoiu, Razvan-Nicolae Teodoreanu, Ioan Lascar
Journal of Personalized Medicine.2024; 14(8): 887. CrossRef
Cirugía más inmunoterapia local en el tratamiento del tumor de Buschke-Löwenstein. A propósito de un caso
Nicole Emily Rojas Espinoza, Juan Pablo Torrico Vilte
Revista de Investigación e Información en Salud.2023; 18(44): 51. CrossRef
Surgical Management of Perianal Giant Condyloma Acuminatum of Buschke and Löwenstein: Case Presentation
Raul Mihailov, Alin Laurențiu Tatu, Elena Niculet, Iulia Olaru, Corina Manole, Florin Olaru, Oana Mariana Mihailov, Mădălin Guliciuc, Adrian Beznea, Camelia Bușilă, Iuliana Laura Candussi, Lavinia Alexandra Moroianu, Floris Cristian Stănculea
Life.2023; 13(9): 1916. CrossRef

Case Report

Perineal Reconstructive Surgery of a Cloaca-Like Perineal Defect: A Case Report.: Jung, Hae Il , Bae, Sang Ho , Baek, Moo Jun , Kim, Chang Ho , Ahn, Hyung Sik; J Korean Soc Coloproctol. 2009;25(6):437-440.; DOI: https://doi.org/10.3393/jksc.2009.25.6.437

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8 Download

Abstract PDF: The perineal defect in female genitalia results from multiple etiologies, including obstetric injury, sexual assaults, and perineal trauma. Untreated defects may lead to significant physical, functional, and esthetic complaints. Numerous reconstruction methods are used for a perineal defect, but various complications, such as fecal impaction, fecal incontinence, and wound disruption, are introduced. We report a case of a 40-yr-old woman with a cloaca-like perineal defect, who was treated with reconstructive surgery of the perineal defect and recovered with a good anatomical and functional outcome.

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