İpek Merve EVRÜKE, İrem USTA KORKUT

Renal transplantlı bir hastada hızlı gelişen dev kondiloma akuminatum: olgu sunumu

Dev kondiloma aküminatum genellikle human papillomavirus (HPV) subtip 6 veya 11 enfeksiyonları ile görülmekte olup, anogenital bölgede karnabahar benzeri agresif büyüyen kitle ile karakterizedir. Kişinin bağışıklığı hastalığın ana risk faktörlerinden biri olduğundan, lezyonlar bağışıklığı baskılanmış hastalarda daha sık görülür. Bu yazıda, cinsel olarak inaktif bir renal transplant alıcısında görülen dev bir vulvar kondiloma aküminatum olgusu sunulmuştur. Dört yıl önce renal transplantasyon geçiren ve o zamandan beri immünosupresyon tedavisi alan 25 yaşındaki hasta, vulvar bölgede hızla büyüdüğünü fark ettiği bir kitle nedeni ile başvurmuştur. Kondiloma aküminatum lehine değerlendirilen ve geniş cerrahi eksizyon yapılan hastanın takiplerinde nüks görülmemiştir. Cerrahi eksizyon, hızlı büyüyen vulvar kondilomlu immün sistemi baskılanmış hastalarda kesin tedavi yöntemi olarak görülmektedir.

Anahtar Kelimeler:

Kondiloma aküminatum, Human papillomavirus (HPV), immünosupresyon

Giant condyloma acuminatum in a female renal transplant recipient with rapid development: a case report

Giant condyloma acuminatum (GCA) usually occurs on a set of human papillomavirus (HPV) subtype 6 or 11 infections and is characterized by cauliflower-like aggressive growing mass over the anogenital region. Lesions are more often observed in immunocompromised patients since host immunity is one of the main risk factors of the disease. We report a case of a GCA in a sexually inactive renal transplant recipient. A 25-year-old patient who had renal transplantation four years prior and has been receiving immunosuppression therapy since presented with the rapid growth of a vulvar mass noticed. A wide surgical excision was performed and the patient had no recurrence at her follow-ups. Surgical excision is the definitive treatment in immunocompromised patients with the rapid growth of vulvar condylomas.

Keywords:

condyloma acuminatum, HPV, immunosuppression,

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