scholarly journals Giant Condyloma Accuminata in Pregnancy, Use of Trichloroacetic Acid combined with electrocauterization and excision Procedure: A Case Report

2021 ◽  
Vol 4 (3) ◽  
pp. 82
Author(s):  
Putri Cinthya Ismihari ◽  
Riyana Noor Oktaviyanti

Condyloma acuminata is a sexually transmitted disease caused by the Human Papilloma Virus (HPV). During pregnancy, condyloma acuminata can proliferate rapidly due to changes in immunity and increased blood supply. One of the safest therapeutic modalities is trichloroacetic acid (TCA). Electrocautery is another modality in pregnant patients.  A 16-year-old woman, 6-months pregnant, complained of a wart-like lump in the pubic area getting more prominent since the last two weeks and covering the vagina surface. The lump is not itchy and painless. From history-taking it was found that patient often changes partners. On physical examination, the lesions were multiple papules with a verrucous surface. The results of the work-up showed a positive acetowhite test. Patients are then treated with a TCA of 80-90% during pregnancy and followed by electrocautery and excision during cesarean section. The results of 80-90% TCA treatment followed by electrocautery and excision were satisfactory, and there were no recurrences when the patient went for a follow-up. TCA is a substance that is caustic and can erode skin and mucous membranes. TCA works by coagulation of proteins which causes dryness of cells and tissues. TCA is safe for pregnant women. Combination of TCA 80-90% with electrocautery and excision, in this case, proved to be effective with no sign of recurrence. The combination of TCA therapy with electrocautery and excision has proven effective and safe for pregnant patients.

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Stella R. Nelwan ◽  
Nurdjannah J. Niode ◽  
Marlyn G. Kapantow

Abstract: Condyloma acuminata, also known as genital warts, is a vegetation of certain types of Human Papilloma Virus(HPV), stalky with bumpy surface. This disease is a sexually transmitted disease, most HPV infections in anogenital area are acquired during sex. This was a descriptive retrospective study, where the data were collected from medical records and registers book of sexually transmitted disease (STD) in Dermatovenereology clinic of Prof. Dr. R. D. Kandou Hospital Manado. The result showed that in 2012, there were 27 new cases of condyloma acuminata, 2.46% of all new patients Most age group found was 25-44 years which was 13 patients (48.15%), with sex distribution mostly found in female patients which was 14 patients (51.85%). Most occupation found was private employees by 10 patients (37.04%). Most affected locations in female patients was vulva and vulva with vagina by 5 patients each of them (35.71%), where as in male patients was penis which was found in 4 patients. The result also showed that HIV was the most comorbid disease found in 3 patients (11.11%). Conclusion: In this study, most condyloma acuminata patients is in 25-44 age group, mostly found in female, most occupation was private employee, most location affected in female were vulva and vulva with vagina, while in male patients was penis, most therapy used was podophyllin. Most comorbid disease was HIV. Keywords: Condyloma acuminata, Human papilloma virus, female    Abstrak: Kondiloma akuminata (KA) adalah vegetasi oleh Human Papilloma Virus (HPV) tipe tertentu, bertangkai dengan permukaannya berjonjot. Penyakit ini tergolong infeksi menular seksual, kebanyakan infeksi HPV di daerah anogenital didapatkan melalui hubungan seksual. Penelitian ini bersifat deskriptif retrospektif; data diambil dari rekam medik dan buku register infeksi menular seksual bagian ilmu penyakit kulit dan kelamin RSU Prof. Dr. R. D. Kandou Manado. Hasil penelitian memperlihatkan pada tahun 2012 dari total kunjungan baru terdapat 27 kasus baru KA (2,46%). Kelompok umur terbanyak didapatkan adalah 25-44 tahun sebanyak 13 orang (48,15%) dengan jenis kelamin terbanyak perempuan sebanyak 14 orang (51,85%) Pada pekerjaan terbanyak pada pekerja swasta sebanyak 10 orang (37,04%) Lokasi lesi pada perempuan tersering di vulva dan vulva ditambah vagina masing-masing sebanyak 5 orang (35,71%), sedangkan pada laki-laki tersering di penis yaitu sebanyak 4 orang. Hasil penelitian juga didapatkan penyakit penyerta terbanyak adalah HIV sebanyak 3 orang (11,11%) . Simpulan: Dalam Penelitian ini, pasien KA terbanyak pada kelompok umur 25-44 tahun paling banyak pada perempuan, jenis pekerjaan pegawai, lokasi lesi pada perempuan tersering pada vulva dan vulva ditambah vagina sedangkan pada laki-laki tersering di penis, pengobatan tersering podofilin. Penyakit penyerta ada lah HIV. Kata kunci: Kondiloma Akuminta, Human papilloma virus, Perempuan.


2000 ◽  
Vol 11 (1) ◽  
pp. 27-30 ◽  
Author(s):  
P Kissinger ◽  
J J Kopicko ◽  
L Myers ◽  
S Wustrack ◽  
W Elkins ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Peri Eriad Yunir ◽  
Chaidir A. Mochtar ◽  
Agus Rizal A. H. Hamid ◽  
Chaula L. Sukasah ◽  
Rainy Umbas

Condyloma acuminata in the external genitalia (genital warts) is a sexually transmitted disease that is often caused by human papillomavirus (HPV). We report a case of giant genital condyloma acuminata in a 35-year-old male patient with HIV comorbidity treated by wide surgical excision. Excision defect was covered with split thickness skin graft (STSG) and double keystone flaps. There was no complication after surgery. Ten months following surgery, there was no new condyloma lesion and the patient had normal voiding and erectile functions.


2020 ◽  
Vol 3 (S2) ◽  
pp. 7-8
Author(s):  
Sara Dahhouki ◽  
◽  
Kaoutar Achehboune ◽  
Mounia Bennani ◽  
Zakia Douhi ◽  
...  

The Buschke-Löwenstein tumor, also known as, giant condyloma acuminatum is an extremely rare sexually transmitted disease associated due to human papilloma virus infection, mostly Type 6 or 11.


2019 ◽  
Vol 3 (1) ◽  
pp. 47-54
Author(s):  
Meidyta Sinantryana Widyaswari ◽  
Hans Lumintang ◽  
Troef Soemarno

Background: Condylomata Acuminata (CA) is a sexually transmitted disease caused by the Human Papilloma Virus (HPV) type-specific and may be simultaneously co-infected with other HPV types associated with malignancy. Purpose: To differentiate between CA and histopathological of malignancy by immunohistochemistry. LiteratureReview: CA refers to benign epidermal proliferation caused by the HPV types 6 and 11, but co-infection with high- risk HPV types are common. The clinical presentation of CA can’t differentiate between benign or preneoplastik diplasia lesions. Koilocytes considered pathognomonic for HPV lesions, these findings sometimes don’t appear on CA, and histopathology was not accurate, that immunohistochemistry with MIB-1 (Ki-67) and p16 can beused. Conclusion: Immunohistochemistry examination can help differentiate the diagnosis between malignancy or non- malignancy in the case of CA.


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