Umbilical giant condyloma acuminatum

A 71-year-old man presented with a 4-month history of a slow-growing, violaceous vegetation in the umbilical area (figure 1). There was no history of immunosuppression or treatment for other disorders. The lesion was 5 cm in diameter, involving and overflowing the umbilicus, and had a bad odour. Suspecting a metastasis or urachus cancer, we surgically removed the whole lesion. Histopathology analysis diagnosed a low-grade giant condyloma acuminatum (figure 2), and an 8-week course of topical 5% imiquimod led to complete remission. The patient did not present other condylomata. There are a few cases in the literature of umbilical warts1 2 but none with a giant appearance like the one we observed. Umbilical lesions are rare in adults3 and must be carefully evaluated including histological examination to rule out a malignancy. Figure 1Umbilical giant condyloma acuminatum: a 5 cm...
Source: Sexually Transmitted Infections - Category: Sexual Medicine Authors: Tags: Research letter Source Type: research