Giant anal condyloma

Giant anal condyloma

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A 61 years old male patient presented to the AE Department ar-13995n reporting bleeding during defecation, difficulty and low pain while walking and 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, with malodorousness.The mass was there for best 6.7 powerstroke intercooler pipe upgrade at least three years, progressively growing.