Clinical Conundrum: A Case of Cervical Giant Condyloma Acuminatum

J Obstet Gynaecol Can. 2022 Mar;44(3):294-297. doi: 10.1016/j.jogc.2021.10.011.

Abstract

Giant condyloma acuminatum (GCA) is a benign anogenital lesion caused by human papilloma virus. It is rarely found on the cervix and is difficult to differentiate from malignancy. It is associated with a propensity for invasion, recurrence, and malignant transformation. A 35-year-old woman presented with abnormal uterine bleeding and a suspicious cervical mass. After a Pap test revealed high-grade squamous intraepithelial lesion, cervical biopsies revealed cervical dysplasia. A diagnostic loop electrical excision procedure identified a giant condyloma. A total hysterectomy was performed, confirming the diagnosis. This condition should be in the differential diagnosis for a cervical mass suspicious for malignancy. Prompt biopsy of mass is crucial.

Keywords: Buschke-Löwenstein tumor; uterine cervical neoplasms.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Buschke-Lowenstein Tumor* / diagnosis
  • Buschke-Lowenstein Tumor* / pathology
  • Cervix Uteri / pathology
  • Condylomata Acuminata* / diagnosis
  • Condylomata Acuminata* / pathology
  • Condylomata Acuminata* / surgery
  • Female
  • Humans
  • Uterine Cervical Neoplasms* / pathology
  • Vaginal Smears