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A Case of Recurrent Perianal Paget¡¯s Disease
¹Ú»ó¿µ, °¿ø°æ, ¹ÚÁ¾°æ, ±èÁö¿¬, ¹Ú½Âö, ¾ÈâÇõ, ¿À½ÂÅÃ,
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¹Ú»ó¿µ ( Park Sang-Young )
°æ»ó´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø ÇǺΰúÇб³½Ç
°¿ø°æ ( Kang Won-Kyung )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
¹ÚÁ¾°æ ( Park Jong-Kyung )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
±èÁö¿¬ ( Kim Ji-Youn )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
¹Ú½Âö ( Park Seung-Cheol )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
¾ÈâÇõ ( An Chang-Hyeok )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
¿À½ÂÅà ( Oh Seung-Tack )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
KMID : 0356720010170060346
Abstract
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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Paget¾¾º´;Àç¹ß¼º;Ç×¹®
Paget¡¯s disease;Recurrent;Anus
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