Anal carcinoma in giant anal condyloma, multidisciplinary approach necessary for optimal outcome: Two case reports and review of literature

Figure 1 Large anal condyloma arising from anus with the tumor extending into the left scrotal skin, left thigh crease and to the lower left inguinal area (case 1).

Figure 2 Positron emission tomography computed tomography scan of pelvis showing large perianal, hypermetabolic mass involving the entire left thigh crease, scrotum and the inguinal area (case 1).

Figure 3 Positron emission tomography computed tomography scans of pelvis showing large anal hypermetabolic mass (case 2).

Figure 4 Tumor response 3 mo after the Chemo radiation (Nigro protocol) in case 1.

Figure 5 Complete resolution of anal cancer and condyloma, three years follow up. The blue star denotes the remaining scrotum and VRAM pedicle flap.