Buschke-Löwenstein tumor: A case report

We report the case of a 54-year-old male, married with three children, who has a history of incarceration. The patient is HIV-positive and receiving antiretroviral therapy, with additional risk factors including chronic tobacco and alcohol use, and a history of unprotected sexual intercourse. He presented with multiple large, cauliflower-like lesions in the anogenital region, measuring between 3 and 16 cm. The lesions were irregular in surface, pink to brown in color, painful, pruritic, and showed signs of infection and bleeding. Histopathological examination confirmed the diagnosis of Buschke-Löwenstein tumor without malignant transformation into squamous cell carcinoma. The patient underwent wide surgical excision with satisfactory postoperative evolution. This case highlights the importance of early diagnosis and surgical management of Buschke-Löwenstein tumor, particularly in immunocompromised individuals.