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2006, Number 2

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Rev Mex Cir Pediatr 2006; 13 (2)

Buschke-Löwenstein tumor in a pediatric patient

Ambriz-González G, Escobar-Zavala LC, Mora-Francisco C, Gutiérrez-Jiménez T, Ortiz-Arriaga A

Language: Spanish
References: 15
Page: 92-95
PDF size: 178.87 Kb.


ABSTRACT

Introduction: Buschke-Löwenstein tumor (TBL) or Giant Condyloma semimaligna verrucosa is a neoplasm with local invasion, slow growth, recurrent and tendency to form fistulas and abscesses. Despite its benign histology and low risk for metastasis is considered an intermediate lesion between condyloma acuminatum and squamous cell carcinoma.
Case report: Female patient 12 years of age with perianal tumor seven months of development, accompanied by rectal bleeding and painful defecation two-month history Physical examination, foul smelling distance, abdomen was normal. In the perianal verrucous exophytic tumor, colifloriforme, bleeding, fetid, protruding to the genital region. Tumor culture with Candida species, E. Colli and Staphylococcus coagulase negative. Surgical resection was performed in two stages. The histopathological study reported condyloma acuminata intrepitelial hyperplasia without atypia. In a year of evolution without recurrence, with good functional and aesthetic development.
Discussion: Buschke Löwenstein Tumor anorectal level represents 10% of cases. We report malignant transformation of TBL at 30% to 50%. In the pediatric age is an extremely rare tumor, only Attipou et al. reported the case of a patient of 14 years with a fatal descenlace. Because most of them were case reports there are no controlled studies to establish treatment guidelines. However, wide surgical resection remains the treatment of choice with initial cures 63% to 91%.


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