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Buschke-Lowenstein tumor, reduction of linear contracture with spiral graft technique.

Thomas Kerestes, MD George P. Malliaras, MD Robert DeVito MS4 Anthony Tufaro, MD, DDS, FACS
University of Oklahoma Western Reserve Health Education/NEOMED Northeast Ohio Medical University
2020-02-15

Presenter: Thomas Kerestes, MD

Affidavit:
Work presented is entirely original work.

Director Name: Peter M. DeVito

Author Category: Other Specialty Resident
Presentation Category: Clinical
Abstract Category: General Reconstruction

In this case report, we present a case of a giant condyloma acuminata involving the penis and extending to the upper scrotum and lower abdomen. A 44-year-old male patient presented with a penile lesion present for 7 years. It started as multiple small lesions and had since coalesced. The lesion was resected enbloc circumferentially from the shaft of the penis and suprapubic region. The penile skin was reconstructed with a full thickness skin graft using a spiral technique in an effort to reduce linear contracture. A split thickness skin graft was used for the lower abdominal wall area in a standard fashion. When encountering patients with giant condyloma acuminata, the use of a spiral graft technique should be considered. This is the first case of spiral graft penile reconstruction for giant penile condyloma.

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