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Perianal Paget’s Disease

대한대장항문학회지 2014년 30권 5호 p.241 ~ 244
 ( Kim Chang-Woo ) - Yonsei University College of Medicine Severance Hospital Department of Surgery

 ( Kim Yon-Hee ) - Yonsei University College of Medicine Severance Hospital Department of Pathology
 ( Cho Min-Soo ) - Yonsei University College of Medicine Severance Hospital Department of Surgery
 ( Min Byung-Soh ) - Yonsei University College of Medicine Severance Hospital Department of Surgery
 ( Baik Seung-Hyuk ) - Yonsei University College of Medicine Severance Hospital Department of Surgery
 ( Kim Nam-Kyu ) - Yonsei University College of Medicine Severance Hospital Department of Surgery

Abstract


The incidence of extramammary Paget’s disease (EMPD) is very low. An 84-year-old Korean man was treated with topical and oral medications at a local dermatologic clinic for a year, but the symptoms did not improve. He visited Severance Hospital and underwent a perianal skin biopsy and was finally diagnosed with EMPD. The authors performed a wide local excision according to a 1-cm margin around the lesion. For the skin and the soft tissue defects, bilateral inferior gluteal artery perforator flap transpositions were performed. The size of the lesion was 14 cm2 × 9 cm2, and the lateral and the basal margins were all disease free.

키워드

Extramammary Paget’s disease; Perianal Paget’s disease
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