case_images: PMC10879842_01
case_images: Cauliflower-like tumor covering the entire perineal region with multiple verrucous lesions in the left buttock.
case_images: cureus-0016-00000052700-i01.jpg
case_images: PMC10879842_01_cureus-0016-00000052700-i01.jpg
case_images: FIG1
case_images: The clinical examination revealed a foul-smelling cauliflower-like tumor measuring 13x10 cm covering the entire perineal region as well as multiple verrucous lesions 2-3 cm in diameter in the left buttock (Figure 1).
case_images: Axial CT scan showing the perineal tumor measuring 112.6 mm (arrow).
case_images: cureus-0016-00000052700-i02.jpg
case_images: PMC10879842_01_cureus-0016-00000052700-i02.jpg
case_images: FIG2
case_images: Abdominopelvic computed tomography (CT) revealed a perineal mass measuring 13x11x8 cm without an invasion of the posterior wall of the anal canal and the presence of bilateral inguinal lymphadenopathies (Figure 2).
case_images: Pathological aspect showing squamous cells with epithelial hyperplasia, hyperacanthosis, hyperpapillomatosis, and koilocytes.
case_images: cureus-0016-00000052700-i03.jpg
case_images: PMC10879842_01_cureus-0016-00000052700-i03.jpg
case_images: FIG3
case_images: The pathological examination of a tumor biopsy revealed a squamous cell with epithelial hyperplasia, hyperacanthosis, hyperpapillomatosis, and koilocytes without signs of atypia or invasion of the dermis (Figure 3).
case_images: Immediate postoperative view after the complete resection of the tumor.
case_images: cureus-0016-00000052700-i04.jpg
case_images: PMC10879842_01_cureus-0016-00000052700-i04.jpg
case_images: FIG4
case_images: Therapeutic management consisted of complete excision of the tumor with preservation of the anal canal without flap reconstruction (Figure 4).
case_images: PMC10879842_02
case_images: Visualization of the patient's tumor at the time of diagnosis.
case_images: cureus-0016-00000052700-i05.jpg
case_images: PMC10879842_02_cureus-0016-00000052700-i05.jpg
case_images: FIG5
case_images: The clinical examination revealed a cauliflower-like tumor involving the perineum, the right buttock and inguinal region, and part of the scrotum (Figure 5).
case_images: Immediate postoperative view after complete resection of the tumor.
case_images: cureus-0016-00000052700-i06.jpg
case_images: PMC10879842_02_cureus-0016-00000052700-i06.jpg
case_images: FIG6
case_images: Therapeutic management consisted of the complete removal of the tumor without any flap coverage (Figure 6).