ellman poster 03 kondilomi.indd

SUCCESSFUL RADIOSURGICAL TREATMENT
OF EXTENSIVE RECALCITRANT CONDYLOMA
Miodrag MILOJEVIC
MD, PhD
Proffesor of Dermatology
Igor JEREMIC
MD, Specialist in Obstetrics and Gynecology
Licensed Radio-wave Surgery Instructor
THIS IS A REPORT ABOUT OF CONDYLOMA RECALCITRANT TO THE CONVENTIONAL THERAPY IN TWO FEMALE PATIENTS.
Anally and perianally giant
condylomata before radiosurgeri treatment
The first patient was
a 45-year-old woman
with an extensive,
more or less giant,
cauliflower-like
tumor which was
obtruding the
perianal region, with
flat condylomatous
plaques covering her
external genitalia.
Anally and perianally giant
condylomata before radiosurgeri treatment
Giant condylomata plana regio vulvaris bilateralis before
radiosurgeri treatment
10 minutes after intervention
under local anestehesia (inj.
Lidocaine 2% with adrenaline)
10 minutes after intervention
under local anestehesia (inj.
Lidocaine 2% with adrenaline)
3 months after intervention
no observable relaps
10 days after intervention
3 months after intervention
no observable relaps
3 months after intervention
no observable relaps
CIN III
Anally and perianally localized
condylomata before radio
wave treatment
Anally and perianally localized
condylomata before radio
wave treatment
10 minutes after radiosurgical
treatment
10 minutes after radiosurgical
treatment
4 months after intervention no
observable relaps
4 months after intervention no
observable relaps
10 minutes after LOOP conization
withaut anestehesia
The other patient was a 31-year-old woman with a particularly extensive acuminate and
cauliflower-like condylomata spreading over and obtruding her external genitalia/perineum, as well
as the perianal region in continuum. The colposcopic examination revealed Cervical Intraepithelial
Neoplasia grade III, while the HPV 17 infection has been confirmed by means of the PCR.
PVU 4 months after intervention
The two patients have been previously treated with multiple
procedures such as podophyllotoxin, cryosurgery, electrosurgery and CO2 laser surgery. The above treatments were either
partially successful or resulted in the early relapses.The observed
recalcitrant lesions in both patients have been successfully re-
moved with ELLMAN’s Surgitron HIGH RF source at 4.0 MHz..
The patient with CIN III underwent the LOOP conization with
the identical device. The complete healing was observed in
just 10 days, with no observable relapses during the follow
up period which lasted for 8 and 10 months, respectively.