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KMID : 1214920150210020192
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Soonchunhyang Medical Science
2015 Volume.21 No. 2 p.192 ~ p.196
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Bone Marrow Recurrence with Microscopic Pulmonary Tumor Embolism after Excision of Extramammary Paget’s Disease in Scrotum Three Years Ago
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Cho Seong-Cheol
Kim Jin-Won
Youk Jeong-Hwan
Hwang Sang-Mee
Park Hyo-Jin
Lee Choon-Taek
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Abstract
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Here we report a case of a 72-year-old male patient recurred in bone marrow alone with pulmonary tumor embolism after an excision of extramammary Paget’s disease of scrotum 3 years ago. The patient received paclitaxel/carboplatin chemotherapy with respiratory support in intensive care unit. Four days after chemotherapy, the oxygen demand decreased and the patient was transferred to general ward. The platelet count recovered after 2 weeks. Finally, he died of hepatic failure from Paget’s disease hepatic involvement confirmed by liver biopsy at 10 months after recurrence. This is a rare case of recurred extramammary Paget’s disease in bone marrow alone with pulmonary tumor embolism, which was properly diagnosed with high suspicion and was successfully treated with immediate chemotherapy.
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KEYWORD
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Extramammary Paget’s disease, Pulmonary hypertension, Pulmonary embolism, Neoplastic cells, circulating, Scrotum
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