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Vulvar Condylomata Acuminata in Prepubertal Females

Donald A. Grace, MD; John A. Ochsner, MD; Clarence R. McLain, MD; John P. Smith, MD
JAMA. 1967;201(2):137-138. doi:10.1001/jama.1967.03130020083026.
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CONDYLOMA ACUMINATA of the vulva and periurethral regions are uncommon in children.1 In general this condition tends to be misdiagnosed. Definitive diagnosis is dependent on biopsy of the lesion. We wish to report three cases seen at the Columbus Children's Hospital.

Report of Cases 

Case 1.—  A 6-year-old white girl was admitted to the hospital in February 1949, with a three-month history of a small "growth" of the vulva and persistent greenish-yellow vaginal discharge. Results from the child's physical examination were normal except for several "pedunculated warty looking growths" about 0.5 cm in diameter located adjacent to the urethral meatus. Findings from a complete blood cell count (CBC), urinalysis, and vaginal culture were normal. A general anesthetic was given and the lesions were removed with electrocautery; the microscopic examination of the tissue revealed condyloma acuminata. The postoperative course was uncomplicated and the child was discharged on the fifth postoperative


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