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Revista de la Facultad de Medicina (México)
versión On-line ISSN 2448-4865versión impresa ISSN 0026-1742
Resumen
SOTRES GUERRERO, Alejandra Ivonne y ADAME CABALLERO, José Emmanuel. Buschke-Löwenstein Tumor in Adolescent Pregnancy. Rev. Fac. Med. (Méx.) [online]. 2024, vol.67, n.1, pp.22-27. Epub 01-Mar-2024. ISSN 2448-4865. https://doi.org/10.22201/fm.24484865e.2024.67.1.04.
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- week 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 20 × 10 cm of size each one with malodorous discharge were found on her perineal region suggestive of giant condyloma acuminatum. We decided to resect the tumor with tumor-free margin control and healing per secundam. The pathology report showed a giant condyloma acuminatum with tumor-free margin. The PCR analysis revealed human papillomavirus genotype 53. Complete epithelialization was noted at 12 weeks with no 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.
Palabras llave : Buschke-Löwenstein tumor; giant condyloma acuminatum; pregnancy; human papillomavirus; HPV.
