Giant anal condyloma

Giant anal condyloma

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A 61 years old male patient presented to the AE Department reporting bleeding during defecation, difficulty and low pain while walking and cath kidston forget me not sitting.On physical examination we saw an exophytic cauliflower like, ulcerated tumor mass measuring 20 x 14 cm that covered the whole perineum and a similar satellite lesion 3 x 4 cm, evocolit with malodorousness.The mass was there for at least three years, progressively growing.