Giant condyloma acuminatum.
BACKGROUND
Giant condyloma acuminatum is a warty lesion that is characterized by its large size and propensity to infiltrate into deeper tissues contrasting with its microscopically benign pattern. It is proposed that giant condyloma represents an intermediate lesion between condyloma acuminatum and verrucous carcinoma.


OBJECTIVE
A primary therapeutic option of giant condyloma is radical surgery with or without adjunctive chemotherapy. Because of the tumor's large extent in this case, curative therapy would have been achieved by wide surgical excision.


METHODS
We present a morphologically and histologically classic example of giant condyloma with respect to origin from common genital warts. The reason for extensive exophytic growth was due to delay in therapy because of the patient's self neglect but not due to immune deficiency. The patient was treated with wide surgical excision.


RESULTS
The postoperative period was uneventful, allowing satisfactory functional and cosmetic results.


CONCLUSIONS
This case is an interesting case because of its exceptionally huge size without any deep tissue involvement and tissue atypia. This suggests that giant condyloma is an intermediate condition that exhibits a continuous tendency for growth.
Ergün
Selma Sönmez
SS
Department of Plastic and Reconstructive Surgery, Vakif Gureba Hospital, Istanbul, Turkey. selmasonmezergun@yahoo.com
Kural
Yasemin Balsever
YB
Büyükbabani
Nesimi
N
Verim
Levent
L
Akbulut
Habib
H
Gürkan
Levent
L
D003218:Condylomata Acuminata / Q000473:pathology* / Q000601:surgery*; D005832:Genital Diseases, Male / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged