PT - JOURNAL ARTICLE AU - A Handisurya AU - A Rieger AU - Z Bago-Horvath AU - C Schellenbacher AU - A Bankier AU - A Salat AU - G Stingl AU - R Kirnbauer TI - Rapid progression of an anal Buschke–Löwenstein tumour into a metastasising squamous cell carcinoma in an HIV-infected patient AID - 10.1136/sti.2008.034959 DP - 2009 Aug 01 TA - Sexually Transmitted Infections PG - 261--263 VI - 85 IP - 4 4099 - http://sti.bmj.com/content/85/4/261.short 4100 - http://sti.bmj.com/content/85/4/261.full SO - Sex Transm Infect2009 Aug 01; 85 AB - Background: Buschke–Löwenstein tumour (BLT) of the anogenitalia is a locally invasive, destructively growing verrucous carcinoma that does not metastasise. Histologically BLT resembles benign condylomata acuminata. Nevertheless, the tumour grows relentlessly and may rarely progress into squamous cell cancer (SCC).Results: A human immunodeficiency virus (HIV)-infected immunosuppressed patient developed (peri)anal warts accompanied by recurrent abscesses and fistulae. Histology revealed condylomata acuminata, and low-risk genital human papillomavirus (HPV) type 11b was detected. Six months later, the tumour had progressed into an ulcerated SCC that destroyed the rectum and perineum, with metastases to the inguinal lymph nodes. Whereas highly active antiretroviral therapy (HAART) effectively suppressed HIV replication, radiochemotherapy plus anti-EGFR antibody did not halt tumour progression, and the patient died from tumour-cachexia.Discussion: As far as is known, this is the first report demonstrating rapid progression of a BLT into a metastasising SCC in an HIV-infected patient.