Giant anal condyloma

A 61 years old male patient presented to the AE Department reporting bleeding during defecation, difficulty and low iphone 13 price dallas pain while walking and sitting.On physical examination we saw an exophytic cauliflower like, ulcerated tumor mass measuring 20 x 14 cm that caruso milk thistle covered the whole perineum and a similar satellite lesion 3 x 4 cm, with malodorousness.The mass was there for at least three years, progressively growing.