giant condyloma acuminatum of vulva frustrating treatment challenge

giant condylomata are not usually seen nowadays in developed nations, but such cases are still seen in the under-resourced countries. condylomata acuminata are commonly transmitted through sexual intercourse. generally diagnosed based on their appearance. giant condyloma acuminata also named buschke- löwenstein tumour (blt) is a slow growing cauliflower-like tumor, locally aggressive and destructive, with possible malignant transformation. common clinical treatment of anogenital warts is conservative, however, in extreme cases conservative therapy is insufficient and surgical excision is required. a case of common presentation of giant condylomata in a 50 years old, divorced, multiparous woman is presented and the literature is reviewed. she presented with 15 years history of slowly progressive vulval lesion and associated itching, contact bleeding, malodorous vaginal discharge and difficulty in walking. she had previously been treated with podophyllin and cryosurgery without success. the growth measured 30×10 cm in each side and was successfully excised with no evidence of malignancy concomitant and reconstruction also done.