Pathology Reports: Confirming Condyloma Diagnosis - Obstetrics and Gynecology

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Cauliflower Report


Hello Doctor, does this pathological report confirm the presence of condyloma acuminatum? Thank you, Doctor.
Tissue Origin: Tissue from Perineal region
Clinical Diagnosis: R/O condyloma
Pathological Diagnosis and Clinical Diagnosis Comparison: [Consistent]
Gross Description: Specimen received, labeled as perineal region, consists of two pieces of gray-white formalin-fixed tissues, measuring up to 0.2 x 0.1 x 0.1 cm in greatest dimension.
All for section.

Microscopic Description: Microscopically, the sections show polypoid structures composed of a delicate fibrovascular core lined by mature squamous epithelium.
There is no evidence of malignancy in the sections examined.

Xiao Qi, 30~39 year old female. Ask Date: 2022/04/13

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the pathology report does not explicitly mention cauliflower.
You may want to consult your obstetrician-gynecologist and ask them to consult with the pathologist.
Wishing you good health.

Reply Date: 2022/04/13

More Info


Based on the pathology report you provided, it appears that the diagnosis is consistent with condyloma, commonly known as genital warts. The report indicates that the tissue samples were taken from the perineal region, and the clinical diagnosis was to rule out condyloma. The microscopic examination revealed polypoid structures with a delicate fibrovascular core lined by mature squamous epithelium, which is characteristic of condyloma. Importantly, the report states that there is no evidence of malignancy in the examined sections.

Condyloma is caused by certain strains of the human papillomavirus (HPV), particularly types 6 and 11, which are considered low-risk for cancer. These lesions can appear as small, flesh-colored or gray growths that may be raised or flat. They are typically benign, meaning they do not invade surrounding tissues or metastasize to other parts of the body.

The absence of malignancy in your report is a positive sign, indicating that the lesions are not cancerous. However, it is essential to understand that while condylomas are benign, they can be persistent and may recur after treatment. Therefore, follow-up care is crucial. Regular monitoring and possible treatment options, such as topical therapies, cryotherapy, or surgical excision, may be recommended depending on the size and number of lesions.

It's also important to consider the implications of an HPV diagnosis. While the strains causing condyloma are low-risk for cancer, other high-risk HPV types can lead to cervical and other anogenital cancers. Therefore, it is advisable to discuss with your healthcare provider about HPV vaccination, which can protect against the most common high-risk HPV types.

In summary, the pathology report confirms the presence of condyloma without malignancy, which is a benign condition. It is advisable to maintain regular follow-ups with your healthcare provider to monitor for any changes or recurrences. If you have further questions or concerns about your diagnosis or treatment options, do not hesitate to reach out to your healthcare provider for personalized advice and management.

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