Skip to main content
Top
Published in: Indian Journal of Surgery 1/2013

01-06-2013 | Case Report

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

Authors: Murat Ulas, E. Birol Bostanci, Zafer Teke, Kerem Karaman, Metin Ercan, Zisan Sakaogullari, Musa Akoglu

Published in: Indian Journal of Surgery | Special Issue 1/2013

Login to get access

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.
Literature
1.
2.
go back to reference 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 17:541–545PubMedCrossRef 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 17:541–545PubMedCrossRef
4.
go back to reference 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 8:99–101PubMed 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 8:99–101PubMed
5.
go back to reference Bishara B, Eitan A, Barzilai A (1991) Malignant transformation of perianal condyloma acuminatum. Harefuah 121:230–231PubMed Bishara B, Eitan A, Barzilai A (1991) Malignant transformation of perianal condyloma acuminatum. Harefuah 121:230–231PubMed
6.
go back to reference 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 73:370–374PubMedCrossRef 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 73:370–374PubMedCrossRef
7.
go back to reference 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 52:471–475PubMedCrossRef 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 52:471–475PubMedCrossRef
8.
go back to reference 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 37:950–957PubMedCrossRef 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 37:950–957PubMedCrossRef
Metadata
Title
Giant Anorectal Condyloma Acuminatum of Buschke–Lowenstein: Successful Plastic Reconstruction with Bilateral Gluteal Musculocutaneous V-Y Advancement Flap
Authors
Murat Ulas
E. Birol Bostanci
Zafer Teke
Kerem Karaman
Metin Ercan
Zisan Sakaogullari
Musa Akoglu
Publication date
01-06-2013
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue Special Issue 1/2013
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-012-0579-4

Other articles of this Special Issue 1/2013

Indian Journal of Surgery 1/2013 Go to the issue