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15例阴囊Paget病报道
PAGET’S DISEASE OF THE SCROTUM (REPORT OF 15 CASES)
【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.
- 【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