title: Buschke-Lowenstein Tumor.
abstract: BACKGROUND
  Giant condyloma acuminatum belongs to a spectrum of diseases with malignant degeneration. Clinically, it presents as exophytic, fungating masses, sometimes with a cauliflower-like morphology.
  
  
  METHODS
  We present a case of a 32-year-old female patient with a 180x95x80mm exophytic mass of the vulvar region suggestive of Buschke-Lowenstein Tumour. Treatment included wide local excision with electrosurgery and CO2 vaporization of recurrent focal lesions. Histopathological analysis confirmed the expected diagnosis. Surgery went without complications and the patient is lesion-free at the 12th month of follow-up.
  
  
  CONCLUSIONS
  There is a lack of consistent trials regarding optimal treatment of BLT. Surgery, when feasible, remains the mainstay of treatment. It allows quick lesion size reduction, with fewer side effects and more rapid return to daily living activities, when compared to other treatment options.
authors.affiliation: Serviço de Ginecologia, Maternidade Júlio Dinis, Centro Hospitalar do Porto, Porto, Portugal.
authors.forename: Ana Rita
authors.initials: AR
authors.lastname: Pinto
authors.forename: Luís
authors.initials: L
authors.lastname: Guedes-Martins
authors.forename: Cláudia
authors.initials: C
authors.lastname: Marques
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Cabral
mesh_terms: D000328:Adult; D062688:Buschke-Lowenstein Tumor / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D014846:Vulvar Neoplasms / Q000473:pathology / Q000601:surgery