KMID : 0356720010170060346
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Journal of the Korean Society of Coloproctology 2001 Volume.17 No. 6 p.346 ~ p.349
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A Case of Recurrent Perianal Paget¡¯s Disease
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Park Sang-Young
Kang Won-Kyung Park Jong-Kyung Kim Ji-Youn Park Seung-Cheol An Chang-Hyeok Oh Seung-Tack
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Abstract
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Extramammary Paget¡¯s disease is an uncommon intraepithelial carcinoma of the skin and mucosa usually occurring in the anogenital area. Perianal Paget¡¯s disease is a rare entity, often associated with internal malignancies and a poor prognosis. Clinical manifestations of perianal Paget¡¯s disease include pruritis (most common), irritation, rash, lump sensation and the lesion shows erythematous, crusted or scaly area which may weep clear fluid. Lichenified, leukokeratotic or leukoplakia-like patches may also develop in some patients. These areas may resemble eczema or contact dermatitis. Many authors recommend surgery as the treatment of choice. Extended surgical excision for non-invasive lesion and excision of rectum or abdominoperineal resection for invasive disease is recommended. The prognosis for non-invasive lesion is excellent, but for invasive lesion is poor. We experienced one case of perianal Paget¡¯s disease which recurred after wide excision of vulvar area for Paget¡¯s disease, and performed secondary abdominoperineal resection. Now, radiation therapy was done for adjuvant therapeutic modality.
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KEYWORD
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Paget¡¯s disease, Recurrent, Anus
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