Enlarging back mass on a 33-year-old man
Mouna Bouaddi, Badredin Hassam
The Pan African Medical Journal. 2013;16:54. doi:10.11604/pamj.2013.16.54.2841

Create an account  |  Sign in
EPI Helina 2017
"Better health through knowledge sharing and information dissemination "

Images in medicine

Enlarging back mass on a 33-year-old man

Cite this: The Pan African Medical Journal. 2013;16:54. doi:10.11604/pamj.2013.16.54.2841

Received: 14/05/2013 - Accepted: 21/06/2013 - Published: 15/10/2013

Key words: Warts, papillomatosis, HPV

© Mouna Bouaddi et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/16/54/full

Corresponding author: Mouna Bouaddi, Department of Dermatology and Venereology, Hospital IbnSina, Souissi 10170, Rabat, Morocco (dr.bouaddi@hotmail.fr)


Enlarging back mass on a 33-year-old man

 

Mouna Bouaddi1,&, Badredin Hassam1

 

1Department of Dermatology and Venereology, CHU IbnSina, Rabat, Morocco

 

 

&Corresponding author
Mouna Bouaddi, Department of Dermatology and Venereology, Hospital IbnSina, Souissi 10170, Rabat, Morocco

 

 

Image in medicine

Warts are tumor due to the infection with human papilloma virus HPV. We report the case of a giant wart evolving in the back of a thirty-three year-old man, This had been present since he had 7 years-old, but had been growing rapidly for the two last years. His medical history was devoid of recurrent infections, tumor pathologies. The exam revealed a brown tumor on the right paravertebral region that measured 25cm/7cm. It had irregular borders but well delineated. The surrounding skin was unaffected. Examination of the lymph nodes revealed multiple bilateral adenopathies exceeding 2cm in diameter. The rest of the physical examination revealed no additional abnormalities. A biopsy revealed papillomatosis, hyperkeratosis with parakeratosis, and the presence of koilocytes. The diagnosis was a giant wart confirmed by PCR. Neoplastic pathology was put forward as a second option due to the large size of the lesion, the speed of development, the peripheral adenopathies, as well as impaired overall health. These symptoms prompted the surgical excision of the tumor for a histological analysis on multiple slices of the specimen; no neoplastic proliferation was found. The uniqueness of our observation lies in the size, location, and length of evolution, as well as the unexplained increase in activity in the two years prior to examination. He reported having been employed as a mason during these years and frequently worked topless in the open air carrying heavy sachets on his back. These conditions could explain the warts increased activity related to autoinoculation.

Figure 1: longitudinal verrucous tumor measuring 25cm x 7cm. Histology with HE coloration: epidermis with papillomatosis, hyperkeratosis and parakeratosis and presence of koilocytes.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 27 (May - August 2017)

Article tools

This article authors

On Pubmed
On Google Scholar

Navigate this article

Rate this article

Altmetric

PAMJ is a member of the Committee on Publication Ethics

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved