人们发现第一个病毒以来,病毒学科取得了迅猛的发展,人们对病毒大小的认知也已经基本成型。21世纪初,科学家发现了拟菌病毒,开启了巨大病毒的大门,此后人们又陆续发现了多种巨大病毒。这些病毒体积较大,基因复杂,已经超出了以往以大小...人们发现第一个病毒以来,病毒学科取得了迅猛的发展,人们对病毒大小的认知也已经基本成型。21世纪初,科学家发现了拟菌病毒,开启了巨大病毒的大门,此后人们又陆续发现了多种巨大病毒。这些病毒体积较大,基因复杂,已经超出了以往以大小区分病毒的标准,其体积和基因组大小甚至与很多原核和真核生物相当。此外,科学家们还发现了数种能够感染巨大病毒和其他核质大DNA病毒(nucleocytoplasmic large DNA virus,NCLDV)的病毒,将其命名为噬病毒体。这一系列新发现极大地触动了人们对病毒认识的知识体系,并导致了关于病毒起源与进化问题的讨论,这在病毒学史上具有重大的意义。展开更多
BACKGROUND Anal cancers are caused by human papilloma virus(HPV). Buschke-Lowenstein tumor also known as giant anal condyloma(GCA) is a variant of giant neglected anal tumors arising from warts caused by HPV infection...BACKGROUND Anal cancers are caused by human papilloma virus(HPV). Buschke-Lowenstein tumor also known as giant anal condyloma(GCA) is a variant of giant neglected anal tumors arising from warts caused by HPV infection. HPV are a family of double-stranded DNA viruses and primarily cause sexually transmitted disease of the genitalia and oropharyngeal mucosa. These tumors are slow growing;locally destructive large verrucous masses.CASE SUMMARY We present a series of two cases with large anal tumors harboring invasive cancers and highlight their presentation and management. Tumors with high risk HPV subtypes(HPV 16, 18, 31, 33) may progress into invasive squamous cell carcinoma(SCC). Untreated GCA can attain enormous size and extend into the pelvic organs and bony structures. Some tumors show malignant degeneration into SCC and are often difficult to diagnose given the large size of the tumors.Complete surgical excision with negative margins is the treatment of choice and necessary to prevent recurrence. This is often not feasible and leaves large surgical wounds with tissue defects with delay in healing and increases postoperative morbidity. Pelvic reconstructive techniques including muscle flaps and grafts are often necessary to close the defects. Human immunodeficiency virus and immunocompromised patients generally do poorly with standard treatments.CONCLUSION A multidisciplinary team of colorectal and plastic surgeons, medical and radiation oncologists along with combination treatment modalities are necessary when malignant transformation occurs in GCA, for optimal outcomes.展开更多
文摘人们发现第一个病毒以来,病毒学科取得了迅猛的发展,人们对病毒大小的认知也已经基本成型。21世纪初,科学家发现了拟菌病毒,开启了巨大病毒的大门,此后人们又陆续发现了多种巨大病毒。这些病毒体积较大,基因复杂,已经超出了以往以大小区分病毒的标准,其体积和基因组大小甚至与很多原核和真核生物相当。此外,科学家们还发现了数种能够感染巨大病毒和其他核质大DNA病毒(nucleocytoplasmic large DNA virus,NCLDV)的病毒,将其命名为噬病毒体。这一系列新发现极大地触动了人们对病毒认识的知识体系,并导致了关于病毒起源与进化问题的讨论,这在病毒学史上具有重大的意义。
文摘BACKGROUND Anal cancers are caused by human papilloma virus(HPV). Buschke-Lowenstein tumor also known as giant anal condyloma(GCA) is a variant of giant neglected anal tumors arising from warts caused by HPV infection. HPV are a family of double-stranded DNA viruses and primarily cause sexually transmitted disease of the genitalia and oropharyngeal mucosa. These tumors are slow growing;locally destructive large verrucous masses.CASE SUMMARY We present a series of two cases with large anal tumors harboring invasive cancers and highlight their presentation and management. Tumors with high risk HPV subtypes(HPV 16, 18, 31, 33) may progress into invasive squamous cell carcinoma(SCC). Untreated GCA can attain enormous size and extend into the pelvic organs and bony structures. Some tumors show malignant degeneration into SCC and are often difficult to diagnose given the large size of the tumors.Complete surgical excision with negative margins is the treatment of choice and necessary to prevent recurrence. This is often not feasible and leaves large surgical wounds with tissue defects with delay in healing and increases postoperative morbidity. Pelvic reconstructive techniques including muscle flaps and grafts are often necessary to close the defects. Human immunodeficiency virus and immunocompromised patients generally do poorly with standard treatments.CONCLUSION A multidisciplinary team of colorectal and plastic surgeons, medical and radiation oncologists along with combination treatment modalities are necessary when malignant transformation occurs in GCA, for optimal outcomes.
