Experience of Wide Local Excision of Perianal Giant Condyloma Acuminatum without Immediate Surgical Reconstruction: A Case Report

肛周區巨大尖形濕疣經由局部廣泛性切除，沒有接受立即性重建手術之經驗：一病例報告

黃思銘(Ssu-Ming Huang) ； 陳俊豪(Chun-Hao Chen) ； 黃健財(Chien-Tsai Huang) ； 黃健洲(Chien-Chou Huang) ； 劉張惠泉(Huei-Chiuan Liuchang) ； 方佳偉(Chia-Wei Fang) ； 詹菁華(Jing-Hua Chan) ； 邱建銘(Chien-Ming Chiu)

《中華民國大腸直腸外科醫學會雜誌》 24卷1期 (2013/03) Pp. 31-35

https://doi.org/10.6312/SCRSTW.2013.24(1).10117

摘要

巨大尖形濕疣，或可稱之為Buschke-Lowenstein腫瘤，其特色是大的腫瘤外觀而且有浸犯到下層組織的傾向，雖然病理學上是良性的組織。此疾病通常發生在生殖器區。肛門周邊巨大尖形濕疣在英文醫學文獻上偶有報導。然而在台灣，到目前為止，只有兩例的肛門周邊巨大尖形濕疣被報導。在此我們報導一位六十二歲已婚的非同性戀者被診斷有肛門周邊巨大尖形濕疣。疣狀腫瘤大小有六乘六乘四公分，在肛門周邊並且往陰囊部位侵犯。此外，超過圓周三分之二的肛門上皮也被侵犯。手術方法是廣泛式切除。當時病理報告是尖形濕疣。傷口於四個月後以次級癒合機轉癒合。術後一年又八個月追蹤沒有發現任何尖形濕疣復發。也沒有肛門狹窄或失禁的情形發生。

關鍵字

巨大尖形濕疣 ； 廣泛性局部切除 ； 次級癒合

並列摘要

Giant condyloma acuminatum or Buschke-Lowenstein tumor is characterized by its large size and is prone to infiltrating into underlying tissues although it is microscopically benign. It commonly affects the genitalia. Cases of perianal giant condyloma acuminatum are reported sporadically in English literature. In Taiwan, only two cases of perianal giant condyloma acuminatum was found in literature. We report a rare case of perianal giant condyloma acuminatum in a 62-year-old, non-homosexual, married man. There was a 6 x 6 x 4 cm fungating circum-anal mass extending into his scrotal area. In addition, more than two-thirds confluent anal condylomata were involved. He received wide local excision for the lesion. Pathology studies confirmed a diagnosis consistent with condyloma acuminatum. Four months later, his wound healed by secondary intention. After follow-up for one year and eight months, no anorectal recurrent condyloma has been found. The patient had no anal stenosis or incontinence.

並列關鍵字

Giant condyloma acuminatum ； Wide local excision ； Secondary healing