Radical surgical management of perianal giant condyloma acuminatum of Buschke and Löwenstein: long-term results of 11 cases
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 o...
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Korean Society of Coloproctology
2023-06-01
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| Series: | Annals of Coloproctology |
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| Online Access: | http://coloproctol.org/upload/pdf/ac-2021-00080-0011.pdf |
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| author | Alp Yildiz Sezai Leventoglu Aybala Yildiz Arda Inan Bedrettin Bulent Mentes |
| author_facet | Alp Yildiz Sezai Leventoglu Aybala Yildiz Arda Inan Bedrettin Bulent Mentes |
| author_sort | Alp Yildiz |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-13T00:53:52Z |
| format | Article |
| id | doaj.art-19845669ef714d119bb6b49e630f8d2e |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-03-13T00:53:52Z |
| publishDate | 2023-06-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-19845669ef714d119bb6b49e630f8d2e2023-07-07T07:23:19ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222023-06-0139320420910.3393/ac.2021.00080.00111864Radical surgical management of perianal giant condyloma acuminatum of Buschke and Löwenstein: long-term results of 11 casesAlp Yildiz0Sezai Leventoglu1Aybala Yildiz2Arda Inan3Bedrettin Bulent Mentes4 Department of General Surgery, Yenimahalle Training and Research Hospital, Ankara, Turkey Department of Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey Department of General Surgery, Yenimahalle Training and Research Hospital, Ankara, Turkey Department of Pathology, Faculty of Medicine, Gazi University, Ankara, Turkey Department of Surgery/Proctology, Memorial Ankara Hospital, Ankara, TurkeyPurpose 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.http://coloproctol.org/upload/pdf/ac-2021-00080-0011.pdfbuschke-lowenstien tumorcondylomata acuminatareconstructivesurgical procedurescolorectal surgery |
| spellingShingle | Alp Yildiz Sezai Leventoglu Aybala Yildiz Arda Inan Bedrettin Bulent Mentes Radical surgical management of perianal giant condyloma acuminatum of Buschke and Löwenstein: long-term results of 11 cases Annals of Coloproctology buschke-lowenstien tumor condylomata acuminata reconstructive surgical procedures colorectal surgery |
| title | Radical surgical management of perianal giant condyloma acuminatum of Buschke and Löwenstein: long-term results of 11 cases |
| title_full | Radical surgical management of perianal giant condyloma acuminatum of Buschke and Löwenstein: long-term results of 11 cases |
| title_fullStr | Radical surgical management of perianal giant condyloma acuminatum of Buschke and Löwenstein: long-term results of 11 cases |
| title_full_unstemmed | Radical surgical management of perianal giant condyloma acuminatum of Buschke and Löwenstein: long-term results of 11 cases |
| title_short | Radical surgical management of perianal giant condyloma acuminatum of Buschke and Löwenstein: long-term results of 11 cases |
| title_sort | radical surgical management of perianal giant condyloma acuminatum of buschke and lowenstein long term results of 11 cases |
| topic | buschke-lowenstien tumor condylomata acuminata reconstructive surgical procedures colorectal surgery |
| url | http://coloproctol.org/upload/pdf/ac-2021-00080-0011.pdf |
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