Unusual presentation of penile giant condyloma acuminatum with spontaneous prepuce perforation: A case report  

作　　者：Fu-Chieh Hsu Dah-Shyong Yu Ta-Wei Pu Min-Jui Wu En Meng 

机构地区：[1]Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114024,Taiwan,China [2]Division of Urology,Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114024,Taiwan,China [3]Division of Colon and Rectal Surgery,Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114024,Taiwan,China

出　　处：《World Journal of Clinical Cases》2023年第29期7107-7112,共6页世界临床病例杂志

摘　　要：BACKGROUND Giant condyloma acuminatum(GCA)is an uncommon condition affecting the anogenital area.CASE SUMMARY Here,we report an 88-year-old male patient who presented with a 5-year history of a progressive appearance of multiple cauliflower-like warts over his penile shaft,pubis region,and groin as well as urine leakage along the distal penile shaft.Physical examination revealed an ulcerative skin perforation with pus discharge under the distal prepuce base,which was initially suspected to be a urethral fistula.However,during surgery,it was discovered that the perforation was caused by a giant condyloma lesion that had obliterated the prepuce opening,with infection and high pressure causing subsequent skin perforation.He underwent circumcision and wide excision with electrocauterization of the warts.He was discharged after the surgery,and the residual lesion was treated with imiquimod and low-dose oral tegafur-uracil.CONCLUSION Penile GCA can cause prepuce perforation and can be postoperatively treated with imiquimod and low-dose oral tegafur-uracil.

关 键 词：Giant condyloma acuminatum Prepuce perforation Buschke-Löwenstein tumor Fistula FORESKIN Case report 

分 类 号：R561[医药卫生—呼吸系统] R816.4[医药卫生—内科学]