Perianal Verruca Acuminata With Mucosal Lesions

The fact that condyloma acuminata may be implanted on the rectal mucosa beyond the mucocutaneous junction is often overlooked. We could find no reference to this fact in the literature on perianal verruca acuminata listed in the Quarterly Cumulative Index Medicus from 1941 to the present. A review of several popular surgical and proctology texts revealed only one reference to this observation. 1 The symptoms, objective and subjective, give no clue to a concomitant presence of mucosal warts with perianal condylomata. Overlooked adjacent mucous membrane lesions may be responsible for the recurrence of condyloma acuminata on the perianal skin. In view of these facts, we have routinely done proctoscopy on all cases of perianal condylomata. Between Dec. 8, 1948, and Sept. 29, 1953, seven cases of condylomata on the rectal mucosa were found. These were male patients, three of whom had lesions on the genitalia also.