Patel Shiv R, Al-Jabbari Esraa, Kelly Brent, Bhargava Peeyush
Department of Radiology, University of Texas Medical Branch, 301 University Blvd., Galveston, TX, 77555, USA.
Radiol Case Rep. 2023 Jun 16;18(9):2900-2902. doi: 10.1016/j.radcr.2023.05.076. eCollection 2023 Sep.
This case report shows the use of computed tomography (CT) imaging in evaluating a 53-year-old male patient presenting with anogenital wart like lesions. The patient was suspected of having condyloma acuminata. The significant extent of condyloma acuminata, as seen in this case, is a relatively uncommon finding. CT was ordered to help assess for local invasion and malignancy. This report also discusses Buschke-Lowenstein tumors, the rare malignant transformation of giant condyloma acuminata in the anogenital region. Invasion and malignancy in condyloma acuminata must be evaluated as they can have a poor and even fatal prognosis. Histological examination confirmed the diagnosis of condyloma acuminata and CT ruled out regional invasion, and metastatic disease. Additionally, the role of imaging in planning surgical excision is discussed. This case highlights the value of CT in the clinical diagnosis and management of condyloma acuminata.
本病例报告展示了计算机断层扫描（CT）成像在评估一名出现肛门生殖器疣样病变的53岁男性患者中的应用。该患者疑似患有尖锐湿疣。如此病例所见，尖锐湿疣的显著范围是相对不常见的发现。进行CT检查以帮助评估局部侵犯和恶性肿瘤情况。本报告还讨论了Buschke-Lowenstein肿瘤，即肛门生殖器区域巨大尖锐湿疣的罕见恶性转化。必须评估尖锐湿疣的侵犯和恶性情况，因为它们可能预后不良甚至致命。组织学检查确诊为尖锐湿疣，CT排除了区域侵犯和转移性疾病。此外，还讨论了成像在规划手术切除中的作用。本病例突出了CT在尖锐湿疣临床诊断和管理中的价值。
