Giant condyloma acuminatum (Buschke-Lowenstein tumor). Series of seven cases and review of the literature

Giant condyloma acuminata (Buschke Lowenstein tumor) is a rare disease that commonly affects immunocompromised patients, presenting a high percentage of malignancy, recurrence rate and mortality. There is little agreement regarding treatment and post-operative controls, where imaging studies play an important role, existing literature regarding this is limited. In this review, we present the cases of seven patients, along with their characteristics mainly on MRI as well as CT scan, in addition to a revision of the literature. In most cases, pedunculated exophytic “caulifower-like” lesions are observed. In CT they present soft-tissue density and vascularization. In magnetic resonance imaging they are isointense on T1, slightly hyperintense on T2, with restricted diffusion on DWI, and heterogenous enhancement on gadolinium administration, maintaining their enhancement in later stages.