Rectal Involvement of Recurrent Buschke-Lowenstein

We present a 48-year-old caucasian woman presenting with anal pain, discharge and diffi culty in defecation due to recurrent Buschke-Lowenstein tumor with rectal involvement discuss it in the light of literature. A 48-year old caucasian woman was referred to our institute with anal mass causing pain, discharge and diffi-culty in defecation. She initially had simple excision and electro-coterisation 3 and 15 years before at different centers. At physi-cal examination, multiple vegetative mass lesions presented as a caulifl ower-like tumor were seen at perianal region. Colonoscopy showed an infl amated, vegetative mass covering all mucosa annu-larly and starting from 2 cm away from anal verge and reaching un-til 20 cm was seen. Due to the large extent of tumor invasion in this case, curative surgery would have been achieved only by wide local surgical excision and abdominoperineal resection due to rectal in-volvement. This severe mutilation was refused by the patient. Thus, patient was referred to medical oncology for radiochemotherapy. Wide radical excision of Buschke-Lowenstein tumor (BLT) is the preferred treatment for achieving local control, but excision alone often is ineffective treatment. Abdominoperineal resection is nec-essary in cases with infi ltration involving the sphincter muscles or rectum, especialy for recurrent cases