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15例阴囊Paget病报道

PAGET’S DISEASE OF THE SCROTUM (REPORT OF 15 CASES)

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【作者】 顾卫列刘守业王亚农

【Author】 Gu Weilie,Liu Shoye,Wang YanongCancer hospital Shanghai Medical University, Shanghai 200032

【机构】 上海医科大学附属肿瘤医院外科

【摘要】 目的对15例阴囊Paget病的临床表现,治疗方法及其预后进行分析。方法14例行病灶广泛切除,7例证实有腹股沟淋巴结转移的患者中5例行淋巴结清除术。4例患者由于创面缺损较大而行植皮,筋膜皮瓣及带血管蒂的腹直肌岛状肌皮瓣修复。结果7例有腹股沟淋巴结转移的患者中6例死亡,其中5例在5年内死亡。1例失访。无腹股沟淋巴结转移者均存活。结论阴囊Paget病的治疗首选手术切除。一旦有淋巴结转移,其5年生存率较低。

【Abstract】 URPOSE Fifteen patients of Paget’s disease of the scrotum have been encountered.METHODS Fourteen patients were treated by wide local excision.In 7 patients with groin matastases,5 patients were performed by lymph node dissection.Fsiac falp and rectus abdominis myocutaneous flap were used to reconstruct the large defects after dissection in 4 patients.RESULTS There were 7 patients with groin matastases,of which 6 died within 5 years and 1 was lost to follow up.Patients without groin matastases were all survived.CONCLUSION Surgery is the treatment of choice for Paget’s disease.Prognosis of patient with groin matastases is poor.

【关键词】 阴囊疾病外科手术
【Key words】 Scrotum Disease Surgery Operation
  • 【文献出处】 中国癌症杂志 ,CHINA ONCOLOGY , 编辑部邮箱 ,1998年02期
  • 【分类号】R737.26
  • 【被引频次】1
  • 【下载频次】21
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