A Case Report of Giant Genital Warts (original) (raw)
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Extensive anogenital warts: a multidisciplinary surgical management
Pan African Medical Journal, 2018
Genital warts are a major worldwide healthcare problem of sexually active population. Apart from direct association with cervical cancer, male patients experience HPV-related condylomata in several locations in the anogenital area. Extensive growth, multifocality and difficult accessibility wart sites are demanding and often require multidisciplinary surgical management. In our case, we present a male patient with extensive anogenital warts treated by a team of surgeons in several steps.
Journal of Obstetrics Gynecology and Cancer Research, 2017
Anogenital warts (AGWs) are the most prevalent sexually transmitted viral infections in the United States of America. Symptomatic warts can be seen in nearly 1% of the population aged 15 to 49 years. Genital warts are highly contagious through sexual contact. AGWs can be diagnosed by careful visual inspection. Several methods have been described for the treatment of warts; however, all have their own limitations and are not always successful. Warts often recur even after being completely removed. The treatments of warts can be divided into two broad categories, ie, surgical and nonsurgical methods. The patient himself/herself can apply the nonsurgical methods, or a physician can perform it. Podophyllotoxin is a good medical substance. Imiquimod can act as an immune response modifier and stimulate locally produced cytokine. Topical treatments of warts increase local production of interferon and decrease viral load of human papiloma virus (HPV). The surgical methods for genital warts include curettage, electrosurgery, and application of a scalpel under general or local anesthesia. Scattered keratinized lesions can be removed by electrosurgery. Patients with multiple or large warts of any location should be referred for surgical treatment under general anesthesia.
Extensive Genital Warts in Man Hampering Conjugal Life: A Case Report
Anwer Khan Modern Medical College Journal, 2020
Genital warts, commonly known as condyloma acuminata, caused by the proliferation of squamous epithelial cells in the presence of sexually transmission of human papilloma Virus (HPV) infection. In human, HPV infection results in simple condyloma acuminatum, giant condyloma or Buschke-LÖwenstein tumour, and seldom penile carcinoma. There are several modalities of treatment options available for genital warts-medical and surgical, alone or in combination. Sometimes extensive genital warts represent a district entity resulting from HPV infection and require surgical management. We present the case of a 42-year-old male; rickshaw puller had multiple professional female sexual partners, who presented with extensive genital warts in penoscrotal region. Lesions were treated due to failure of medical management, by wide electrosurgical excision and rotation scrotal skin flaps.
Gigantic vulvar masses: a case series of benign large vulvar tumors
2021
Benign tumors of the vulva are relatively infrequent and may show nonspecific clinical manifestations. These tumors are uncommon in the lower genital tract, but are commonly a reason for a gynecologic consultation. Although most tumors do not require treatment, it is necessary to consider a differential diagnosis that includes infectious lesions, skin cancers, and preand malignant tumors. A biopsy is often needed to exclude a malignant neoplasm to indicate proper treatment.
International Journal of STD & AIDS, 2007
A retrospective review of the prevalence of intraepithelial neoplasia (IN) in surgically removed perianal/anal warts from December 1995 to December 2004 was undertaken in patients referred to the Sexual Health Clinic at Royal Perth Hospital. Data were analysed from 115 men and 38 women, 29 of whom had HIV infection (27 men and two women). Perianal/ anal IN within the warts was found in 78% (52% high grade) of men with HIV infection. In men without HIV infection, the overall rate of IN within warts was 33% (20% high grade). The IN rate was 8.3% for HIV-negative women (2.8% high grade). Rates of IN within perianal/anal warts in men with or without HIV infection are higher than previously reported, and suggest the likelihood of a substantial increase in the future incidence of anal cancer. The association between IN and genital warts needs to be further studied.
External Genital Warts: Report of the American Medical Association Consensus Conference
Clinical Infectious Diseases, 1998
A consensus process was undertaken to describe and evaluate current information and practice regarding the diagnosis, treatment, and evaluation of patients with external genital warts (EGWs) and their sex partners. This process developed a number of key statements that were based on strong evidence in the literature or reasonable suppositions and opinions of experts. Key statements included the following. In most cases, EGWs can be diagnosed clinically by visual inspection. No one treatment is ideal for all patients or all warts. Women with EGWs and female sex partners of men with EGWs are at increased risk for human papillomavirus-related cervical disease and, like all women, should be screened for cervical cancer. The diagnosis of EGWs in children requires a sexual abuse evaluation. Clinicians who treat EGWs have a responsibility to counsel patients and to provide information about the infectivity, diagnosis, treatment, and natural history of EGWs and general information about sexual health and other sexually transmitted diseases.
Buschke–Löwenstein Tumor mimics Carcinoma Vulva
Journal of SAFOMS
Giant condylomata are uncommon in developed countries; however, they are prevalent in developing nations. Condylomata acuminata are maximally transmitted by sexual contact. Giant condyloma acuminata, also called Buschke-Löwenstein tumor, is known to be a slow-growing cauliflower-like tumor, which is locally aggressive, with possible malignant transformation. Common management is conservative on medical lines. However, in extreme cases, surgical excision is required. A case of a 68-yearold nulliparous lady with giant condyloma acuminata is reviewed. She presented with a 3-year history of slowly progressive lesion on the vulva, with associated itching and another complaint of difficulty in walking. The growth measured 6 × 5 cm on left labia and was successfully excised with no evidence of malignancy. Concomitant reconstruction was also done.
External Genital Warts: Diagnosis, Treatment, and Prevention
Clinical Infectious Diseases, 2002
onstrate that HPV types 6 and 11 are most often associated with external genital warts (EGWs) [7-25]. Clinical warts are the most common recognized clinical manifestation of genital HPV infection. Although HPVs infect the squamous epithelium at a variety of anatomical locations, the present review focuses on EGWs; these are visible warts that occur on the perigenital and perianal region: the penis, scrotum, and vulva; pubic, perineal, and perianal areas; and crural folds. We focus primarily on the available treatments, including studies published since our prior review [26], and factors that influence treatment decisions. In addition, we briefly review diagnostic criteria and issues pertinent to prevention, including approaches relevant to EGW-affected patients and their partners and the prevention of transmission, both sexual and perinatal. BACKGROUND Papillomaviruses infect virtually all vertebrates. Although there may be as many as 230 different HPV types according to data from partially sequenced virus
Systematic review of the incidence and prevalence of genital warts
BMC Infectious Diseases, 2013
Background: Anogenital warts (AGWs) are a common, highly infectious disease caused by the human papillomavirus (HPV), whose high recurrence rates contribute to direct medical costs, productivity loss and increased psychosocial impact. Because of the lack of a systematic review of the epidemiology of AGWs in the literature, this study reviewed the published medical literature on the incidence and prevalence of AGWs. Methods: A comprehensive literature search was performed on the worldwide incidence and prevalence of AGWs between 2001 and 2012 using the PubMed and EMBASE databases. An additional screening of abstracts from relevant sexual health and infectious disease conferences from 2009 to 2011 was also conducted. Only original studies with general adult populations (i.e., at least including ages 20 through 40 years) were included. Results: The overall (females and males combined) reported annual incidence of any AGWs (including new and recurrent) ranged from 160 to 289 per 100,000, with a median of 194.5 per 100,000. New AGW incidence rates among males ranged from 103 to 168 per 100,000, with a median of 137 per 100,000 and among females from 76 to 191 per 100,000, with a median of 120.5 per 100,000 per annum. The reported incidence of recurrent AGWs was as high as 110 per 100,000 among females and 163 per 100,000 among males. Incidence peaked before 24 years of age in females and between 25 and 29 years of age among males. The overall prevalence of AGWs based on retrospective administrative databases or medical chart reviews or prospectively collected physician reports ranged from 0.13% to 0.56%, whereas it ranged from 0.2% to 5.1% based on genital examinations. Conclusions: The literature suggests that AGWs are widespread and the prevalence depends on study methodology as suggested by higher rates reported from routine genital examinations versus those from treatment records. However, there remains a need for more population-based studies from certain regions including Africa, Latin America and Southern Asia to further elucidate the global epidemiology of this disease.