Giant perianal condyloma acuminatum in an infant without sexual abuse

Elfatoiki, Fatima Zahra; Hali, F.; Baghad, B.; Marnissi, F.; Chiheb, S.

doi:10.1016/j.arcped.2019.09.003

Cited by 4 publications

(6 citation statements)

References 9 publications

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Section: Discussionsupporting

confidence: 85%

“…Diagnosis is usually clinical and confirmed by biopsy as reported by Elfaitoiki et al in their case report and also done in our case [5] . The management is usually difficult in children due to the age and size of the lesions [5] . Treatment modalities include cryotherapy, laser therapy, electro-cauterization and surgical excision, of which all need local or general anesthesia [5] .…”

Section: Discussionsupporting

confidence: 85%

“…Other mode of transmission can be horizontal which includes fomites, fingers, and mouth, skin contact (other than sexual). Self-inoculation is described as a potential mode of transmission in pediatrics and female virgins without history of sexual abuse [5] . It was difficult to establish the exact route of infection in our case report, however horizontal transmission or self -inoculation are suspected as possible route of transmission.…”

Section: Discussionmentioning

confidence: 99%

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An uncommon presentation of a large vulval wart in a child

Lodhia

Mremi

Mbwambo

et al. 2022

International Journal of Surgery Case Reports

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Introduction and importance Ano-genital warts are rare presentation in children. The main route of transmission is by sexual intercourse however horizontal transmission, self-inoculation and vertical transmission are also documented. Establishing the route of transmission when there is no evidence of sexual abuse may be difficult in pediatric and female virgins such as in our case report. Surgical excision remains one of the best options for treatment of large warts in pediatrics. To the best of our knowledge, this is the first report of novel case of large genital warts in pediatrics in Tanzania. Case presentation We present a case of female child of one year and 10 months old with large ano-genital cauli-flower masses admitted at Kilimanjaro Christian Medical Centre. The child's hymen was intact and with no evidence of sexual abuse identified. The masses were excised under general anesthesia and histology confirmed Condyloma acuminata . Clinical discussion Ano-genital warts are rare presentation in pediatrics and female virgins. Sexual abuse should be ruled out in pediatrics patients. Self-inoculation is described as a possible route of transmission in pediatrics and in female virgins. Horizontal and vertical transmissions are also possible route of transmission of HPV. It might be difficult to establish the route of transmission as in our case report. The warts were successful treated by surgical excision and cauterization. Conclusion Condyloma acuminata are rare in pediatrics and establishing the route of transmission may be difficult. Sexual abuse should be ruled out in pediatrics.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An uncommon presentation of a large vulval wart in a child

Lodhia

Mremi

Mbwambo

et al. 2022

International Journal of Surgery Case Reports

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“…Very few cases have been described in pregnant women [ 10 ]. Although it is considered a sexually transmitted disease and sexual abuse should always be suspected when it occurs in pediatric age, cases not associated with sexual transmission have been described, suggesting a mechanism of autoinoculation and heteroinoculation [ 11 ].…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

Giant Condyloma Acuminata (Buschke-Lowenstein Tumor): Review of an Unusual Disease and Difficult to Manage

Condoy

Acuña-Pinzón

Chavarría-Chavira

et al. 2021

Infectious Diseases in Obstetrics and Gynecology

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Giant condyloma acuminatum (GCA) or Buschke-Loewenstein tumor is a rare disease, with an estimated prevalence of 0.1%. It was initially described in 1896 by Buschke and later in 1925 by Buschke and Loewenstein. Classic condyloma acuminata (CCA) and squamous cell carcinoma (SCC) were initially described as different entities. These three entities are currently considered to correspond to the same spectrum of different but not exclusive malignant transformations, associated with multiple risk factors such infection by human papilloma virus (HPV), immunodeficiencies, poor hygiene, multiple sexual partners, and chronic genital infections. HPV subtypes 6 and 11 are associated with 90% of GCA. It presents as a cauliflower-like tumor in the genital region with bad odor, bleeding, and local infection, differential diagnosis with multiple conditions should be considered, and sexually transmitted diseases should always be investigated. GCA has a higher rate of malignant transformation than CCA and tends to infiltrate adjacent soft tissues. The therapeutic approach is controversial but is considered that the resection with free edges is the gold standard and can be combined with adjuncts. The recurrence rate is high. Overall mortality is 21% and is associated with morbidity caused by recurrences. Imiquimod cream 5% has recently shown good results as monotherapy and in combination with ablative and surgical treatments. The quality of life is diminished in patients with this condition. In this review, we address the different aspects of this rare entity including the therapeutic approach.

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“…Se concluye que, el condiloma gigante (tumor de Buschke-Löwenstein) es una lesión voluminosa con aspecto de 'coliflor', poco frecuente en niñas y adolescentes (9) , que se asocia a estados de compromiso del sistema inmunológico. El tratamiento de elección debe ser siempre quirúrgico, teniendo en cuenta la necesidad de seguimiento y verificar la posibilidad de abuso sexual (12,13) .…”

Section: Presentación Del Casounclassified

Tumor de Buschke-Löwenstein en una niña. A propósito de un caso

Álvarez¹,

Paredes²,

Cabrera³

et al. 2021

Rev peru ginecol obstet.

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El tumor de Buschke-Löwenstein es un condiloma acuminado gigante, benigno, cuyas lesiones clínicas son mayores de 10 cm, por lo que el tratamiento de elección debería ser siempre quirúrgico. Se presenta el caso de una niña de un año con condiloma gigante en la vulva, tumor de Buschke-Löwenstein de rápida evolución, a quien se le practicó resección quirúrgica satisfactoria. Se revisó la literatura respecto a su diagnóstico y tratamiento.

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Giant perianal condyloma acuminatum in an infant without sexual abuse

Cited by 4 publications

References 9 publications

An uncommon presentation of a large vulval wart in a child

An uncommon presentation of a large vulval wart in a child

Giant Condyloma Acuminata (Buschke-Lowenstein Tumor): Review of an Unusual Disease and Difficult to Manage

Tumor de Buschke-Löwenstein en una niña. A propósito de un caso

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