Park Ilou, Koh Sung Hoon, Lee Hee Jeong
Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea.
Department of Pathology, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea.
J Surg Case Rep. 2021 May 5;2021(5):rjab173. doi: 10.1093/jscr/rjab173. eCollection 2021 May.
Warty carcinoma (WC), known as condylomatous carcinoma, generally derives from genito-urethral area. Its symbolic lesion is the exophytic and verruciform mass associated with human papillomavirus infection. A 90-year-old female presented with growing cauliflower-like mass in her back. A wide excision was performed for two masses. It was finally confirmed as WC throughout histopathological findings-arborescent papillomatosis, hyperkeratosis and acanthosis. The patient was an ordinary housewife and there was no recurrence and any postoperative complication 6 month after the surgery. Accordingly, careful physical examination and history-taking as well as wide-excision securing safety margin are essential, especially for senile patients.
疣状癌(WC),又称湿疣状癌,通常起源于泌尿生殖区域。其标志性病变是与人类乳头瘤病毒感染相关的外生性疣状肿物。一名90岁女性背部出现不断增大的菜花状肿物。对两个肿物进行了广泛切除。最终通过组织病理学检查结果——树枝状乳头瘤病、角化过度和棘皮症确诊为WC。该患者为普通家庭主妇,术后6个月无复发及任何术后并发症。因此,仔细的体格检查、病史采集以及确保安全切缘的广泛切除至关重要,尤其是对于老年患者。