BACKGROUND:

Buschke-Löwenstein tumor, also called giant condyloma acuminatum, is a rare condition due to the human papillomavirus with an incidence of 0.01% and just 6 cases reported in pregnancy. There is no consensus on the treatment, although surgery has been the most reported.

CLINICAL CASE:

A 14-year-old primigravid patient with a 21 weeks pregnancy who was admitted to the Emergency Department due to a perineal painful tumor which appeared 5 months before. On physical examination two irregular exophytic, cauliflower-like and ulcerated lesions of 20x10 cm of size each one with malodorous discharge were found on her perineal region suggestive of giant condyloma acuminatum. We decided to respect the tumor with tumor-free margin control and healing per second time. The pathology reports a giant condyloma acuminatum with tumor-free margin. The PCR analysis revealed human papillomavirus genotype 53. Complete epithelialization was noted at 12 weeks without complications noted.

CONCLUSION:

Buschke-Löwenstein tumor is considered as a benign tumor, but it carries a risk of malignant transformation, and it can appear after treatment which makes important to strengthen the prevention and screening of human papillomavirus.

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