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KMID : 1143020180230010059
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Archives of Hand and Microsurgery
2018 Volume.23 No. 1 p.59 ~ p.62
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Perianal Paget’s Disease Reconstruction with Bilateral Pacman Flap
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Jang Suk-Yoon
Bae Tae-Hui
Kim Woo-Seob
Kim Han-Koo
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Abstract
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Extramammary Paget’s disease is uncommon slow-growing intraepithelial adenocarcinoma which usually occurs in area of body where apocrine glands are present. A 70-year-old man had a dermatologic evaluation for anal bleeding and underwent a skin biopsy with diagnostic of Paget’s disease in perianal region. Wide excision under intraoperative frozen biopsy and reconstruction operation was performed under general anesthesia. Final defect shape was elliptical and bilateral Pacman flap was performed. Elliptical perianal defect was successfully reconstructed without any complications such as congestion, partial necrosis or infection.
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KEYWORD
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Perianal Paget’s disease, Extramammary Paget’s disease, Pacman flap
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