Authors: Aristóteles Maurício Gomes Ramos, Carolina Viana Bueno Gomes, Carolina Passos Arrigoni, Felipede Oliveira Blackman Fernandes, Antônio Chambô Filho.
Introduction: Giant condyloma acuminata is a relatively rare sexually transmitted disease caused by human papillomavirus. Also known as Buschke-Lowenstein tumor (BLT), the treatment of choice is still controversial. BLT is a rare variant of condyloma acuminata and differs by presenting with locally invasive growth, lack of spontaneous resolution, high recurrence even after treatment and low potential for malignant transformation. In the case described in this report, we used a combination of electrocautery and a surgical scalpel to resect a huge condyloma. Furthermore, this disease is rare and no controlled studies exist, radical excision of this anogenital lesion is generally recommended as the first line therapy and close vigilance and follow-up are essential. The purpose of this report is to present the case, discuss an overview of etiopathogenesis, clinical presentation, diagnosis, and management of giant condyloma acuminate.
Case: The present report describes a clinical case and discusses their rarity, clinical diagnosis, histopathology and immunohistochemistry findings and the treatment of a patient with giant condyloma acuminata. The data were collected at a hospital in Vitória, Espírito Santo, Brazil.
Conclusion: Giant condyloma acuminate is rare; however, when present, importance of timely detection, effective management, and close surveillance to improve patient outcomes. Electrocautery resection is an effective and successful treatment modality for giant condyloma acuminata.
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