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

• Published in: Indian journal of surgery Vol. 75; no. Suppl 1; pp. 168 - 170
• Main Authors: Ulas, Murat, Bostanci, E. Birol, Teke, Zafer, Karaman, Kerem, Ercan, Metin, Sakaogullari, Zisan, Akoglu, Musa
• Format: Journal Article
• Language: English
• Published: India Springer India 01-06-2013; Springer; Springer Nature B.V
• Subjects: Cardiac Surgery; Case Report; Medicine; Medicine & Public Health; Neurosurgery; Pediatric Surgery; Plastic Surgery; Surgery; Thoracic Surgery; V-Y advancement flap; Verrucous carcinoma; Giant condyloma acuminatum; Buschke–Lowenstein tumor; Abdominoperineal resection
• ISSN: 0972-2068; 0973-9793
• DOI: 10.1007/s12262-012-0579-4

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.