Interpenoscrotal Buschke-Löwenstein tumor

¹Laboratory of Sexual Health, Urology Department, Ibn Rochd University Hospital, Casablanca, Morocco, ²Infectious Disease Department, Ibn Rochd University Hospital, Casablanca, Morocco

^&Corresponding author
Youness Chakir, Laboratory of Sexual Health, Urology Department, Ibn Rochd University Hospital, Casablanca, Morocco

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Buschke-Löwnestein tumor (BLT) or giant condylomata acuminata (GCA) caused by human papillomavirus (HPV). It´s a rare condition, essentially transmitted sexually. The confirmation is histological, after a biopsy of the mass. The treatment is poorly coded, the surgical treatment is the gold standard. The evolution is characterized by recurrences, requiring surgical recovery. Sex education and treatment early condylomatous lesions improves the prognosis of this affection. We present the case of a 50-year-old man, married, with the notion of sexual vagrancy. On clinical examination we found a large, painless, exophytic tumor lesion, budding, irregular at the base of the penis on the ventral side, extending towards the scrotum. This mass has been evolving for 15 years. Examination of the oral and anal mucosa shows no associated lesions. The physical examination did not find inguinal lymphadenopathies. The clinical size of the tumor, about 8cm, was oriented towards a Buschke-Löwenstein tumor. The standard biological examinations were normal. Serologies HIV, chlamydia, syphilitic and hepatitis B and C were negative. Histological examination of the exeresis specimen revealed epitheliomatous hyperplasia which was made of an acanthosic squiggle coating, papillomatous, overcome by parakeratotic hyperkeratosis with the presence of koilocytes signalling HPV infection, without signs of malignancy. A wide exeresis has been performed. The evolution has been good without recurrence, with 18 months of hindsight.

Figure 1: interpenoscrotal Buschke-Löwenstein tumor