Radiology, Vol 150, 651-653, Copyright © 1984 by Radiological Society of North America
Anorectal giant condyloma acuminatum (Buschke-Loewenstein tumor): CT and radiographic manifestations
EJ Balthazar, M Streiter and AJ Megibow
Giant condyloma acuminatum (Buschke-Loewenstein tumor) is an unusual
variety of venereal wart characterized by a large size, cauliflower- like
appearance, and locally invasive nature. CT examination of two patients
with anorectal giant condylomata revealed the papillomatous and invasive
nature of the lesion and the extent of tumor; there was infiltration of the
subcutaneous tissue, perirectal fascial planes, and luminal narrowing with
marked thickening of the rectal wall. The pathologic specimens showed
benign histologic findings in one case and a mixed pattern with areas of
malignant degeneration in the other. CT accurately demonstrated the exact
location and extent of the lesions. The presence of malignant degeneration
in this inherently invasive lesion can be established only on histologic
examination.
