title: Giant anorectal condyloma acuminatum of buschke-lowenstein: successful plastic reconstruction with bilateral gluteal musculocutaneous v-y advancement flap.
abstract: A 58-year-old male patient presented with an anorectal verrucous carcinoma, also known as Buschke-Lowenstein tumor. Clinically, the lesion of the patient best resembled giant condyloma acuminatum with a cauliflower-like appearance. The diagnosis was confirmed with biopsy and an abdominoperineal resection was performed. The perineal defect was reconstructed with bilateral gluteal musculocutaneous V-Y advancement flap. Both functional and cosmetic results 6 years after the operation were excellent. To date, no recurrence has been noted. As long as one is aware of its existence and of its characteristic appearances, the Buschke-Lowenstein tumor is fairly easily diagnosed. The treatment of choice remains surgical resection, and adequate follow-up is essential.
authors.affiliation: Department of Gastroenterological Surgery, Turkey Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Ulas
authors.affiliation: Department of Gastroenterological Surgery, Turkey Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
authors.forename: E Birol
authors.initials: EB
authors.lastname: Bostanci
authors.affiliation: Department of Gastroenterological Surgery, Turkey Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey ; Gerzele Mah., Yesilada Sitesi, 544 Sok., No: 3, A-Blok, Kat: 4, Daire: 9, 20055 Servergazi, Denizli Turkey.
authors.forename: Zafer
authors.initials: Z
authors.lastname: Teke
authors.affiliation: Department of Gastroenterological Surgery, Turkey Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
authors.forename: Kerem
authors.initials: K
authors.lastname: Karaman
authors.affiliation: Department of Gastroenterological Surgery, Turkey Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Ercan
authors.affiliation: Department of Pathology, Turkey Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
authors.forename: Zisan
authors.initials: Z
authors.lastname: Sakaogullari
authors.affiliation: Department of Gastroenterological Surgery, Turkey Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
authors.forename: Musa
authors.initials: M
authors.lastname: Akoglu
keywords: Abdominoperineal resection; Buschke–Lowenstein tumor; Giant condyloma acuminatum; V-Y advancement flap; Verrucous carcinoma