Buschke-Lowenstein tumour of glans penis.
BACKGROUND
Buschke-Löwenstein tumour, also known as Giant condyloma acuminatum, is a rare, sexually transmitted disease that affects ano-genital region. BLT is a slow growing cauliflower-like tumour, locally aggressive and destructive. Human papillomavirus has been identified as an important contributory factor in the development of tumour.


METHODS
A 45 year uncircumcised male presented with complaints of cauliflower like growth on glans penis. Growth started as a small papule on the corona sulcus at 12 O'clock position 6 months back. Patient developed pain and dysuria due to compression of urethral meatus. Patient has history of multiple sexual partners.


CONCLUSIONS
BLT, first described by Buschke and Lowenstein in 1925. They observed a penile lesion that clinically resembled both common condyloma acuminata and squamous cell carcinoma, but differing from both of them regarding the biological behaviour and the histopathological appearance. GCA can be differentiated from ordinary condylomas by the characteristic "pushing" rather than "infiltrating" effect that tends to compress and displace the underlying tissue.


CONCLUSIONS
We have successfully treated a penile BLT with surgical excision and no relapse up to 6 months. Surgical excision could be considered an effective therapy in the treatment.
NIMS Medical College, Department of General Surgery, Jaipur, Rajasthan 303121, India. Electronic address: agarwalsunil017@gmail.com.
Sunil
S
Agarwal
NIMS Medical College, Department of General Surgery, Jaipur, Rajasthan 303121, India.
Gaurav Kumar
GK
Nirwal
NIMS Medical College, Department of General Surgery, Jaipur, Rajasthan 303121, India.
Harendra
H
Singh
Buschke–Löwenstein tumour; Giant condyloma acuminatum; Surgical excision