Perianal Giant Condyloma Acuminatum with HIV Treated with Surgical Excision

Irvin Aldikha, Rr. Widya Kusumaningsih, Asih Budiastuti, Muslimin, Meira Dewi Kusuma Astuti

2019

Abstract

Giant condyloma acuminatum (GCA) is a large condyloma caused by Human papillomavirus (HPV) infection mostly type 6 and 11, that is locally invasive and does not metastasize. Homosexual is at risk for HIV infection and acquiring condyloma acuminatum with 53% of prevalence rate. Currently, there is no gold standard in managing the GCA case. A 20-year-old man presented with a single wart on the perianal area for four months previously. He had a past unprotected sexual history and multiple male partners. Physical examination revealed a cauliflower-like verrucous tumor on the perianal area, 8 x 6 x 3 cm in size. The anti-HIV screening was reactive. The histopathological examination showed hyperplastic stratified keratinized squamous epithelium with papillomatous growth, acanthosis and koilocytosis, supported the diagnosis of condyloma acuminatum. Due to the size of the tumor, the location of the tumor, and the patient's immune status; the patient was treated with surgical excision combined with ARV therapy (tenofovir, lamivudine, efavirenz). The third-month post-surgery evaluation showed no sign of recurrence. Surgical excision and ARV therapy in perianal GCA patient with HIV yielded a satisfactory result. Regular evaluation after surgery is required to identify and prevent recurrence or metastasize potential.

Paper Citation

in Harvard Style

Aldikha I., Kusumaningsih R., Budiastuti A., Muslimin. and Astuti M. (2019). Perianal Giant Condyloma Acuminatum with HIV Treated with Surgical Excision.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 375-379. DOI: 10.5220/0009989403750379

in Bibtex Style

@conference{ictromi19,
author={Irvin Aldikha and Rr. Widya Kusumaningsih and Asih Budiastuti and Muslimin and Meira Dewi Kusuma Astuti},
title={Perianal Giant Condyloma Acuminatum with HIV Treated with Surgical Excision},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={375-379},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009989403750379},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Perianal Giant Condyloma Acuminatum with HIV Treated with Surgical Excision
SN - 978-989-758-469-5
AU - Aldikha I.
AU - Kusumaningsih R.
AU - Budiastuti A.
AU - Muslimin.
AU - Astuti M.
PY - 2019
SP - 375
EP - 379
DO - 10.5220/0009989403750379