Giant Anal Tumor

The patient is a 52-year-old male with an anal tumor that had been progressing for the previous 6 months. The patient reported a weight loss of 20 kg, pain and local bleeding. Upon exploration, a 20 cm×18 cm exophytic mass was observed at the anal margin, which was ulcerated and discharged a purulent liquid (Fig. 1). Computed tomography revealed an extensive pelvic mass, with no infiltration of the rectal wall (Fig. 2). Abdominoperineal amputation was performed, followed by radiotherapy. The pathology results defined the lesion as a giant condyloma acuminatum, or Buschke–Löwenstein tumor. Two months after surgery, the patient presented local recurrence with rapid deterioration of his general condition and died within a few weeks.

Fig. 1

Fig. 2