Resumen

RIOS HERNANDEZ, María de los Ángeles et al. Giant condyloma (Buschke-Lowenstein tumor) of the vulva. Rev Cubana Obstet Ginecol [online]. 2014, vol.40, n.2, pp. 258-264. ISSN 0138-600X.

In spite of being considered a benign entity due to anatomo-pathological characteristics, giant Condylom or Buschke-Löwenstein tumour has a high capacity of recurrence and malignant transformation, with a 20 % of mortality. To present a patient's case that has a Buschke-Löwenstein tumour of 5 years of evolution, that involved the vulvae, periuretral, anus and vagina. Viral diagnostics showed a presence of the Human Papillomavirus type 6 as the only infecting genotype. Surgery, radiotherapy, immunotherapy and antiviral treatments were applied to her with satisfactory results. The follow up 5 years showed arising of smalls condyloma acuminatum which were treated with tricloroacetic acid. A clinical and anatomo-pathological diagnosis of the Buschke-Löwenstein tumour in order to define the penetration´s grade and local invasion, it is necessary before the treatment. The wide margin surgery with or without additional treatment is the most efficient therapeutic reported in handling this pathology. A continuous clinical following allows to detect a possible recurrence of this disease.

Palabras clave : giant condyloma; Buschke Löwenstein tumour; Human Papillomavirus type 6; verrucous carcinoma.

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