Outcomes of surgical management of buschke-lowenstein tumor in a Philippine tertiary hospital

Author: Sofia Isabel T. MANLUBATAN ¹ ; Mark Augustine S. ONGLAO ; Mayou Martin T. TAMPO ; Marc Paul J. LOPEZ
Author Information

1. Division of Colorectal Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
Publication Type:Case Report
From:Annals of Coloproctology 2022;38(1):82-87
CountryRepublic of Korea
Language:English
Abstract: Buschke-Lowenstein tumor (BLT) is a sexually transmitted infection (STI) caused by the human papillomavirus. This study investigated the profile, management, and outcomes of patients who underwent surgery for BLT from 2015 to 2019 at the Philippine General Hospital. Seven patients underwent surgery for BLT. All were male, with ages ranging from 21 to 41 years. Presenting symptoms were anal mass, foul-smelling discharge, pain, bleeding, and pruritus. All were positive for human immunodeficiency virus. All admitted to having engaged in both insertive and receptive anal intercourse, with multiple partners. All underwent excision with healing by secondary intention. Two had recurrence of warts. Four had an anal stricture. Of these, 3 underwent anal dilatation, while 1 had to undergo proximal bowel diversion. One had intraepithelial carcinoma without dermal invasion on histopathologic analysis. BLT is a rare STI characterized by local aggressiveness but with low malignant potential. Wide excision remains to be the mainstay of treatment.