Abstract
Fewer than 100 cases of Buschke-Loewenstein tumour have been reported in the literature. Two new cases are described. Although this tumour is difficult to distinguish clinically from a malignant neoplasm, its downgrowth does not represent true invasion but is caused by pressure of the tumour. Buschke-Loewenstein tumour is therefore to be regarded as essentially benign. Conservative surgery is the treatment of choice unless there is clear evidence of malignancy. Circumcision has a beneficial effect. In one of the writers' two cases, the penis had to be amputated and was reconstructed by a Gillies phalloplasty. In the other case penile preservation was possible.