South Clin Ist Euras. 2006; 17(1): 31-35

Dev Kondiloma Aküminata (Buschke-Löwenstein Hastalýðý): Olgu Sunumu

Orhan Þad, Nejdet Bildik, Ayhan Çevik, Hüseyin Ekinci, Mehmet Altýntaþ, Mustafa Gülmen
Dr. Lütfi Kýrdar Kartal Eðitim Ve Araþtýrma Hastanesi 2. Genel Cerrahi Kliniði

Kondiloma en sýk perianal ve genital bölgede izlenen human papilloma virüs ile bulaþan veneral bir hastalýktýr. Bu yazýda sunduðumuz þekilde dev kondilomalar ise Buschke-Löwenstein hastalýðý veya verrüköz karsinoma olarak adlandýrýlmaktadýr. Anal mukokutanöz hattan sol gluteusa uzanan, 18 cm çapýnda, ülsere ve pürülan akýntýlý kitle ile baþvuran 42 yaþýndaki hasta aðrý, yürümede güçlük ve kötü kokudan yakýnmaktaydý. Hastaya rektum ve sfinkterleri koruyacak þekilde cerrahi geniþ eksizyon ve geçici kolostomi uygulandý. Ameliyat sonrasý iki kez yara debridmaný uygulanan ve yarasý sekonder iyileþen hastanýn ameliyat sonrasý 5. ayda iki adet nüks lezyonu eksize edilerek kolostomisi kapatýldý. Ameliyat sonrasý takipte tutulan hastanýn senelik kontrolünde nüks saptanmadý.

Anahtar Kelimeler: Anahtar Sözcükler: Anüs hastalýklarý/cerrahi, kondiloma aküminata/taný/tedavi.

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Gýant Condylomata Acumýnata (Buschke-Lowensteýn Dýsease): Case Report

Orhan Þad, Nejdet Bildik, Ayhan Çevik, Hüseyin Ekinci, Mehmet Altýntaþ, Mustafa Gülmen
Dr. Lütfi Kýrdar Kartal Eðitim Ve Araþtýrma Hastanesi 2. Genel Cerrahi Kliniði

Condylomata acuminata is a sexually transmitted disease caused by human papilloma virus. It is frequently seen on perianal regions and genitalia. A giant form of this disease that we have presented in this paper is called (Buschke-Löwenstein disease) as verrucous carcinoma. Male patient was admitted to our clinic with an ulcerated mass of 18 centimeters in diameter extending from mucocutaneous line of the anus to the left gluteal region. He was complaining of pain, difficulty in walking and foul odor. An extended surgical excision and temporary colostomy were performed by sparing rectum and anal sphincters. Two more debridments were performed. Five months later following the surgery two recurrent lesions have been excised and the stoma has been closed. During a year of follow-up, no recurrence has been observed.

Keywords: Anus disease/surgery, condylomata acuminata/diagnosis/therapy.

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ATIF KOPYALA