Siafa Antoine Bola, Nkouo Yves Christian Andjock, Owona Sandrine, Nganwa Grâce, Djomou François
Service Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale du Centre Hospitalier Universitaire de Yaoundé, Yaoundé, Cameroun.
Département d'Ophtalmologie, d'Oto-Rhino-Laryngologie et de Stomatologie de la Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Yaoundé, Cameroun.
Pan Afr Med J. 2020 Aug 26;36:349. doi: 10.11604/pamj.2020.36.349.24918. eCollection 2020.
Condylomata acuminata are sexually transmitted lesions caused by human papillomavirus. They mainly occur in the anogenital area and exceptionally in the nasal cavity. We here report a new case of uncommon detection. The study involved a HIV-positive female patient with recurrence of vulvar condylomata acuminata treated in the department of gynecology. She was referred to our department with pink masses in the nasal cavity preventing nasal breathing and evolving over several weeks. Clinical examination and computerized tomography (CT) scan suggested condylomata. Surgical treatment was performed under general anesthesia and endoscopic control; the histological examination showed condylomata acuminata. The postoperative course was simple, with no recurrence after 6 months of follow-up. Condylomata acuminata in the nasal cavity are rare or even exceptional; only very few cases have been described in the literature. They commonly affect young subjects with or without HIV infection, having sexual risk behavior and can occur in several areas, in particular in the genital area. In this case, nasal lesions could result from hand-mediated transfer. Surgical treatment is effective and long-term follow-up is essential to treat possible recurrences.
尖锐湿疣是由人乳头瘤病毒引起的性传播病变。它们主要发生在肛门生殖器区域,极少发生于鼻腔。我们在此报告一例罕见的检测病例。该研究涉及一名在妇科接受治疗的复发性外阴尖锐湿疣的HIV阳性女性患者。她因鼻腔内粉红色肿物导致鼻塞并持续数周而转诊至我们科室。临床检查和计算机断层扫描(CT)显示为尖锐湿疣。在全身麻醉和内镜控制下进行了手术治疗;组织学检查显示为尖锐湿疣。术后过程顺利,随访6个月无复发。鼻腔尖锐湿疣罕见甚至极为少见;文献中仅描述了极少数病例。它们通常影响有或无HIV感染、有性风险行为的年轻受试者,可发生于多个部位,尤其是生殖器部位。在此病例中,鼻腔病变可能是通过手传播所致。手术治疗有效,长期随访对于治疗可能的复发至关重要。