title: Giant condyloma acuminatum of the anorectum (Buschke-Lowenstein tumour): a case report of conservative surgery.
abstract: Giant condyloma acuminatum of the anorectum (Buschke-Lowenstein tumour) is a rare interesting infectious disease caused by the papillomavirus serotypes 16 and 18. In January 2002 a 47-year-old heterosexual male presented with Buschke-Lowenstein tumour and reported having had the disease for 12 years. The patient underwent thorough screening for sexually-transmitted diseases (which proved negative), abdominal CT, transanal US-endoscopy, inguinal ultrasound, chest X-ray and anorectal manometry, which revealed only localized disease. He was treated conservatively with radical local excision of the lesions. No postoperative complications were observed. Twelve months after surgery, there has been no local or remote recurrence and faecal continence is normal. The treatment of choice for Buschke-Lowenstein tumour is controversial; there is no evidence to support the need for demolitive surgery or chemo- and/or radiotherapy. The majority of authors prefer abdominoperineal amputation, but in our opinion conservative surgery is the best choice, especially in terms of the patient's quality of life.
authors.affiliation: Università di Padova, Dipartimento di Scienze Mediche e Chirurgiche, Clinica Chirurgica III, Unità di Chirurgia Colo-proctologica, Ospedale S. Antonio.
authors.forename: Paolo
authors.initials: P
authors.lastname: Parise
authors.forename: Giacomo
authors.initials: G
authors.lastname: Sarzo
authors.forename: Cristiano
authors.initials: C
authors.lastname: Finco
authors.forename: Filippo
authors.initials: F
authors.lastname: Marino
authors.forename: Silvia
authors.initials: S
authors.lastname: Savastano
authors.forename: Stefano
authors.initials: S
authors.lastname: Merigliano
mesh_terms: D001004:Anus Diseases / Q000473:pathology* / Q000601:surgery*; D003218:Condylomata Acuminata / Q000473:pathology* / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged