会阴及右侧腹股沟多发巨大尖锐湿疣伴外阴上皮内瘤变一例  

Multiple giant condyloma of the perineum and right groin accompanied by vulvar intraepithelial neoplasia: a case report

作　　者：王志强[1] 蔡红兵[1] 张帆[1] 

机构地区：[1]武汉大学中南医院妇瘤科,武汉430071

出　　处：《新医学》2015年第8期566-568,共3页Journal of New Medicine

摘　　要：尖锐湿疣表现为以疣状病变为主的性传播疾病,拖延治疗则会发展为巨大尖锐湿疣。该文报道1例巨大尖锐湿疣女性患者,因会阴区巨大赘生物严重影响排尿排便半年就诊,给予赘生物病理活检,明确为巨大尖锐湿疣伴外阴上皮内瘤变,反复清理后,施行疣瘤广泛切除及外阴肛门重建术,术后患者愈合良好。该类疾病有复发和疣状癌转化风险,一旦明确诊断,积极治疗是非常重要的,同时患者的心理障碍问题亦需引起医务工作者的注意。Condyloma acuminatum is a sexually transmitted disease manifested as verrucose lesions.If delayed,it may evolve into giant condyloma acuminatum. We reported one female case of giant condyloma acuminatum. She was admitted to our hospital due to giant neoplasm in the perineal region,which seriously affected dysuria and defecation for half a year. She was diagnosed with giant condyloma acuminatum complicated with vulvar intraepithelial neoplasia confirmed by pathological biopsy. Then,she underwent repeated debridement,radical resection of the condyloma acuminatum and tumor and vulvovaginal anus reconstruction. Favorable postoperative healing was obtained. These diseases had a risk of recurrence and verrucous carcinoma transformation. Upon definite diagnosis,effective therapy should be actively delivered. In addition,physicians should pay attention to the psychological problems of the patients.

关 键 词：尖锐湿疣 巨大尖锐湿疣 治疗 

分 类 号：R752.53[医药卫生—皮肤病学与性病学]