尿道周围及外阴尖锐湿疣：一名3岁女童罕见的青少年性传播疾病。
Periurethral and vulval condylomata acuminata: an unusual juvenile venereal disease in a 3-year-old girl.
作者信息
Patel Ramnik V, Desai Divyesh, Cherian Abraham, Martyn-Simmons Claire
机构信息
Department of Paediatric Urology, University College London Hospitals NHS Foundation Trust, London, UK Department of Paediatric Urology, Great Ormond Street Children Hospital NHS Trust, London, UK.
Department of Paediatric Urology, UCLH and GOSH, London, UK.
出版信息
BMJ Case Rep. 2014 Sep 8;2014:bcr2013200997. doi: 10.1136/bcr-2013-200997.
We present a case of giant condyloma acuminatum (CA) in a 3-year-old girl with rapidly growing vulval and periurethral lesions, which was investigated thoroughly and successfully treated with excision biopsy. Genital warts in the form of giant alarming vestibular, vulval and periurethral lesions of CA are very rare in children. There is need for a multidisciplinary approach with potential sociomedicolegal implications. Surgical excision is safe, effective and provides an opportunity to assess the extent of the lesion and tissue for accurate diagnosis. Genital warts in the form of giant alarming vestibular, vulval and periurethral lesions of CA are very rare in children. Indications for surgical treatment include large, recurrent or refractory lesions, as well as the need for histological identification and acquiring tissue for immunotherapy when necessary. The strategy of an extended follow-up is recommended so as to ensure identification of any risk situations.
我们报告一例3岁女童的巨大尖锐湿疣（CA），其外阴和尿道周围病变迅速生长，经过全面检查并成功接受了切除活检治疗。CA表现为巨大、令人担忧的前庭、外阴和尿道周围病变形式的生殖器疣在儿童中非常罕见。需要采取多学科方法，这可能涉及社会医学法律问题。手术切除安全、有效，并有机会评估病变范围和获取组织以进行准确诊断。CA表现为巨大、令人担忧的前庭、外阴和尿道周围病变形式的生殖器疣在儿童中非常罕见。手术治疗的指征包括病变较大、复发或难治，以及必要时进行组织学鉴定和获取组织用于免疫治疗。建议采取延长随访策略，以确保识别任何风险情况。
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