Buschke-Löwenstein Tumour: Successful Treatment with Minimally Invasive Techniques

Abstract EN

We report a case of an 80-year-old female who presented with a four-year history of a growing mass in the perianal area with pain and bleeding during defaecation.

Clinical examination revealed a locally destructive, cauliflower-like, verrucous mass measuring 10 × 12 cm in diameter.

Histologic findings revealed a moderate degree of dysplasia of the epithelium with koilocytosis atypia, acanthosis, and parakeratosis, features that are consistent with Buschke-Löwenstein tumour.

Polymerase-chain-reaction assay for human papillomavirus (HPV) showed an infection with HPV type 11.

Full-thickness excision of involved skin was undertaken by cryotherapy and electrocautery over five months.

The entire wound was left open to heal by secondary intention.

After 3 years of follow-up, the patient has not experienced a recurrence, with excellent functional results, but the cosmetic results were satisfactory.

These minimally invasive techniques can be safer and more cost-effective than surgery and the General Practitioner can play a key role in diagnosis.