Fine scalpel surgery: preserving the dartos muscle in a  patient with scrotal and perigenital giant Buschke–Löwenstein tumors

We present the case of a 26-year-old male patient who came to the dermatology department with primary complaints of 10-year-old verrucous tumor formations located in the perigenital and perianal areas. Serological tests for AIDS, hepatitis B, hepatitis C,Chlamydia trachomatis, and syphilis were negative. The routine blood tests were slightly abnormal. Histological verification of condylomata acuminata of Buschke –Löwenstein was made. Given the sensitive areas, surgery was advised. With several fine undermining scalpel excisions, the lesions in the scrotal and perigenital areas were removed and the dartos muscle was preserved. Electrodissection and shave curettage were not performed. The postoperative per iod passed without complications and no recurrences in the perigenital area were reported. We believe that our case report represents the first documented surgical approach for scrotal Buschke–Löwenstein tumor using exclusively fine undermining scalpel surgery. A brief literature review of the c ondition is presented, focusing on the currently available treatment options and highlighting the potential effectiveness of the surgical approach.
Source: Wiener Medizinische Wochenschrift - Category: General Medicine Source Type: research