ANORECTAL CONDYLOMA ACUMINATUM TREATED WITH ENDOSCOPIC SUBMUCOSAL DISSECTION

Abstract

A 76-year-old woman with the chief complaint of anemia underwent a total colonoscopy, which revealed a flat elevation spreading in the anal canal and the lower portion of the rectum. Endoscopic submucosal dissection (ESD) was carried out. Histological examination of the resected specimen verified condyloma acuminatum with koilocytosis and mild to moderate atypia of the squamous epithelium. No other lesions were found in the vulva or perianal region. A human papilloma virus-DNA assay was positive for both the low risk group and the high risk group. ESD is considered a possible treatment option in selected cases of condyloma acuminatum.