Verrucous carcinoma arising in an extended giant condyloma acuminatum (Buschke–L?wenstein tumor): a case report and review of the literature

摘要

Introduction Verrucous carcinoma of the external genitalia and perianal region is a rare variant of well-differentiated squamous cell carcinoma. It has been reported to have limited metastatic potential. Case presentation We report the case of a 54 year-old Moroccan man who presented with locally advanced giant condyloma acuminatum (Buschke–L?wenstein tumor) after prolonged intervals of neglect (approximately 10 years). The disease covered his suprapubic, external genitalia and perianal region. It was locally aggressive with extensive tissue destruction. After a biopsy of the lesion, the diagnosis of verrucous carcinoma was confirmed. He initially received chemoradiotherapy, followed by extensive local excision, but he developed septic shock and died a few days later. Conclusions The purpose of this case report is to present a case of verrucous carcinoma arising in an extensive giant condyloma acuminatum (Buschke–L?wenstein tumor) and discuss the literature on its diagnosis and management.