Wide Margin Excision in Patients with Giant Condyloma Acuminata

Abstract

Giant condyloma acuminata (GCA) is one of sexually transmitted infections caused by the Human Papilloma Virus (HPV) infection, specifically HPV types 6 and 11. Giant condyloma acuminata is a rare disease with an incidence of around 0.1%. The age distribution peaked in 25-29 years. The higher prevalence of infection is associated with number of sexual partners, history of chlamydia and gonorrhea infection, smoking and human immunodeficiency virus (HIV) infection. A 24 years old male presented with a cauliflower-like mass on the penis that has been growing slowly for 2 years. Physical examination of the penis revealed a pedunculated reddish verrucous mass, mobile, well-defined, 5x2x1.5 cm in size, and positive acetowhite test. The histopathological picture is in accordance with condyloma acuminata. Surgery with wide margin excision was performed to remove the lump. After 14 days post-surgery, the wound was healed completely without any sign of recurrence.