Scrotal Buschke-Löwenstein Tumor in a Teenager: A Case Study
A. G. Ndoumba Afouba *
Pathological Anatomy and Cytology Department of Yaounde Central Hospital, Cameroon and Department of Anatomy, Morphological Sciences and Forensic Medicine, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Cameroon.
H. Abessolo Abessolo
Infectious Diseases Department, Yaoundé Central Hospital, Cameroon and Department of Microbiology, Parasitology, Hematology and Infectious Diseases, Faculty of Medicine and Biomedical Sciences, University of Ngaoundéré, Cameroon.
G. A. Majoumo Mukam
Department of Morphological Sciences and Forensic Medicine, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon.
S. A. Ananga Noa
Pathological Anatomy and Cytology Department, Douala General Hospital, Cameroon and Department of Biological Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon.
B. E. Edinga-Melenge
National Public Health Laboratory, Cameroon and Department of Biochemistry-Virology, Higher Institute of Medical Technology, Yaoundé, Cameroon.
Z. Sando
Department of Morphological Sciences and Forensic Medicine, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon and Pathological Anatomy and Cytology Department, Gyneco-obstetrics and Pediatrics Hospital of Yaoundé, Cameroon.
*Author to whom correspondence should be addressed.
Abstract
Buschke- Löwenstein tumor is an uncommon pathology, transmitted mainly by sexual route. It is more encountered in young adult males. Its occurrence in children and adolescents should eliminate a notion of sexual abuse. We report a case of Buschke-Lowenstein tumor of scrotal localization in a 13-year-old teenager. He presented with a scrotal confluent nodules. Clinical examination showed a large oozing cauliflower painful mass invading the entire scrotum. Inguinal lymphadenopathy was also found. The analysis of the oozing fluid shows the presence of numerous gram negative bacilli. The microscopic examination revealed an acanthotic papillomatous epidermis with koilocytosis, associated with a dense, fibrous and inflammatory dermis. The patient underwent complete excision of the tumour and the postoperative course was simple. Buschke-Löwenstein tumor is uncommon in teenagers. Nevertheless its clinical and histological presentation is typical.
Keywords: Buschke-löwenstein tumor, scrotum, teenager