Dhaka, Jan 22: A Bangladeshi dubbed "Tree Man" because of bark-like growths on his skin will need aggressive surgery to remove them, doctors said Tuesday, after dozens of attempts failed to cure the extremely rare genetic condition.
It is believed fewer than half a dozen people worldwide have "tree-man syndrome" - epidermodysplasia verruciformis - but the condition is particularly aggressive in Abul Bajandar, who has already undergone 25 bouts of surgery since 2016 to remove the greenish-grey gnarled protuberances from his skin.
The former rickshaw puller, whose case has made headlines around the world, has not worked in years because the growths have left him unable to use his hands.
More than once, doctors believed the 28-year-old was cured, hailing their treatment as a milestone in medical history.
But the growths kept returning.

The former rickshaw puller has been unable to work in years because the growths on his hands.
Most recently, in May, the condition flared up on parts of his body previously spared and he fled the Dhaka Medical College Hospital without notifying staff.
"The growths have sprouted even in new parts of my feet and hands. I made a mistake leaving the hospital, but I hope doctors will be able to cure me fully this time," Bajandar told AFP on Monday.
Once-optimistic doctors concede his case is more complicated than previously thought, and are considering treatment options.
More tests have been ordered and an emergency panel of doctors convened but Bajandar is almost certainly facing a 26th round of invasive surgery to cut away the growths, his medical team said.
"His condition has deteriorated, and I think more surgeries will be required," Samanta Lal Sen, the head plastic surgeon at the hospital, said.
The condition has left Bajandar's family - he has a wife and young daughter - destitute and he is treated free of charge by doctors at the hospital, which is the top medical facility in the Bangladeshi capital.
His plight has captured hearts around the world, and the government has ordered he receive the best care.
Despite the rarity of his condition, he is not alone in Bangladesh.
The same Dhaka hospital also treated a young Bangladeshi girl suffering from the condition in 2017.
Doctors also declared that surgery a success but her father later said the growths returned in even greater numbers. The family halted treatment and returned to their village.
Bajandar does not want to return home, and is desperate for a cure.
"I have received love of the countrymen and our prime minister," he said. "I strongly believe someday I will be able to live like a normal man.
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Jaipur/New Delhi (PTI): Defence Minister Rajnath Singh on Friday directed the top military commanders of the three services to integrate an "element of surprise" into modern warfare to outmaneuver India's adversaries and bolster strategic posture.
In his address at the joint commanders conference in Jaipur, Singh also described the Operation Sindoor as a testament to the "swift, precise, and joint response" of the Indian armed forces to safeguard national interests and called upon the military to remain ready to deal with any security challenges.
In their two-day deliberations, the commanders carried out a comprehensive review of the combat preparedness of the military in the wake of the evolving regional security situation.
Operation Sindoor was a demonstration of India's growing capabilities and a symbol of the nation's collective resolve and new military ethos, Singh said, a day after the first anniversary of Operation Sindoor.
He also unveiled a 'Joint Doctrine for Integrated Communication Architecture' that is aimed at strengthening doctrinal clarity, interoperability and integrated communications across the armed forces in future multidomain operations.
The joint commanders' conference, themed 'Military Capability in New Domains', brought together the top leadership of the defence ministry and the three services to deliberate on emerging security challenges and future readiness.
Comprehensive deliberations were held on future warfare, multidomain operations, technological transformation and joint capability development.
The conference witnessed extensive discussions on cognitive warfare, cyber resilience against evolving quantum and AI-enabled threats, military capability development in emerging domains, indigenous innovation and AI-enabled warfighting concepts.
It was attended by Chief of Defence Staff Gen Anil Chauhan, Chief of the Naval Staff Admiral Dinesh Kumar Tripathi, Chief of the Army Staff Gen Upendra Dwivedi, Chief of the Air Staff Air Chief Marshal AP Singh and Defence Secretary Rajesh Kumar Singh among others.
In his remarks, Singh asked the commanders to remain "future-ready" by learning from the operation as well as the current global security landscape.
He underscored the need to strengthen capabilities in artificial intelligence, autonomous systems, data analytics and secure communication networks to stay prepared in the rapidly evolving geopolitical security scenario. He emphasised that future conflicts will increasingly be shaped by hybrid threats, information dominance and operations conducted simultaneously across cyber, space, electromagnetic and cognitive domains, according to an official readout.
Highlighting the transformative impact of emerging technologies, Singh stressed on the importance of ensuring integrated national preparedness across all spectrums of conflict, it said.
Singh's remarks at the conference came a day after the first anniversary of Operation Sindoor.
The defence minister appreciated the progress achieved in enhancing jointness, integration and technological adoption across the three services, the readout noted.
Singh said that jointness constitutes a pivotal dimension within the transformative changes sweeping across the global defence sector.
"Future wars will not be won solely through weaponry, but through innovative thinking and enhanced synergy," he said.
The defence minister exhorted the commanders to cultivate the "element of surprise" to remain unpredictable to the nation's adversaries and secure a strategic edge in any given situation.
He, however, urged them to remain vigilant of the element of surprise of the enemy and always stay two steps ahead.
Singh also reiterated the Narendra Modi government's commitment to enhancing the capabilities of the defence forces through state-of-the-art weapons and platforms. He added that special focus is being laid on research in niche domains.
During the conference, he released a documentary film on Operation Sindoor.
The film reaffirms the nation's and defence forces' commitment to operational preparedness and decisive national response capabilities.
Demonstrations of advanced systems and platforms developed for intelligence fusion, operational planning and information management were also showcased during the conference reflecting growing integration of cutting-edge technologies into joint operational structures, according to the defence ministry.
The discussions will contribute significantly towards shaping India's future military transformation and integrated operational preparedness, it said.
