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一种罕见实体的罕见表现:巨大尖锐湿疣(Buschke-Löwenstein瘤)。

A rare presentation of a rare entity: giant condyloma (Buschke-Löwenstein) tumor.

作者信息

Serpa-Irizarry Miguel, Tiru-Vega Marilee, Vazquez-Rivera Carolina, Torres-Rivera Brandon, Rivera-Roman Keila, Rodriguez-Quilichini Segundo

机构信息

Department of Surgery, University of Puerto Rico School of Medicine, San Juan, Puerto Rico.

Department of Internal Medicine, VA Caribbean Healthcare System, San Juan, Puerto Rico.

出版信息

J Surg Case Rep. 2024 Jul 12;2024(7):rjae459. doi: 10.1093/jscr/rjae459. eCollection 2024 Jul.

Abstract

Giant condyloma accuminata or Buschke-Lowenstein tumor is a rare entity characterized by a large verrucous or cauliflower-shaped lesion primarily affecting the anogenital region. It forms part of a disease spectrum between classic condyloma accuminata and squamous cell carcinoma. Classically, it is thought to arise from previous human papilloma virus infection. Surgical management is usually the treatment of choice despite their high rate of soft tissue infiltration and recurrence. We herein describe a case of a 40-year-old male patient with cystic fibrosis diagnosed with giant condyloma accuminata without human papilloma virus or other paradigmatic risk factors that was treated with near-total surgical resection.

摘要

巨大尖锐湿疣或Buschke-Lowenstein肿瘤是一种罕见的病变,其特征为主要累及肛门生殖器区域的大的疣状或菜花状损害。它构成了经典尖锐湿疣和鳞状细胞癌之间疾病谱的一部分。传统上,认为它起源于先前的人乳头瘤病毒感染。尽管其软组织浸润和复发率很高,但手术治疗通常是首选的治疗方法。我们在此描述一例40岁男性囊性纤维化患者,其被诊断为巨大尖锐湿疣,无人类乳头瘤病毒或其他典型危险因素,接受了近全手术切除治疗。

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本文引用的文献

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A Giant Anorectal Condyloma Is Not Synonym of Malignancy.巨大型肛门尖锐湿疣并非恶性肿瘤的同义词。
J Gastrointest Cancer. 2019 Dec;50(4):1026-1028. doi: 10.1007/s12029-018-00189-3.
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The treatment of the pulmonary and extrapulmonary manifestations of cystic fibrosis.囊性纤维化的肺部及肺外表现的治疗
Presse Med. 2017 Jun;46(6 Pt 2):e139-e164. doi: 10.1016/j.lpm.2016.11.030. Epub 2017 May 31.
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Giant condyloma versus verrucous carcinoma: a case report.巨大湿疣与疣状癌:病例报告。
J Low Genit Tract Dis. 2010 Jul;14(3):230-3. doi: 10.1097/LGT.0b013e3181c945ed.
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[Buschke-Löwenstein tumor].[ Buschke-Löwenstein瘤]
Ann Dermatol Venereol. 2005 Jan;132(1):98-9. doi: 10.1016/s0151-9638(05)79210-3.

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