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Bilateral Metachronous Paget's Disease of the Accessory Breasts in a Male

Journal of Breast Cancer 2020년 23권 6호 p.665 ~ 671
이영주, 신준영, 정진민, 김은기, 정진홍, 정재호, 공경엽, 고범석,
소속 상세정보
이영주 ( Lee Young-Joo ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery
신준영 ( Shin Jun-Young ) - University of Ulsan College of Medicine Asan Medical Center Department of Pathology
정진민 ( Jung Jin-Min ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery
김은기 ( Kim Eun-Key ) - University of Ulsan College of Medicine Asan Medical Center Department of Plastic Surgery
정진홍 ( Jung Jin-Hong ) - University of Ulsan College of Medicine Asan Medical Center Department of Radiation Oncology
정재호 ( Jeong Jae-Ho ) - University of Ulsan College of Medicine Asan Medical Center Department of Medical Oncology
공경엽 ( Gong Gyung-Yub ) - University of Ulsan College of Medicine Asan Medical Center Department of Pathology
고범석 ( Ko Beom-Seok ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery

Abstract


Bilateral axillary Paget's disease in men is a rare occurrence with limited reports on its diagnosis, treatment, and prognosis. Here, we report the case of a 55-year-old Korean male, who presented with a palpable mass and eczematous skin lesion on the left axilla. An incisional biopsy and histopathologic examination indicated invasive ductal carcinoma with Paget's disease arising in the accessory breast. Magnetic resonance imaging and positron emission tomography revealed no malignancy in the normal breast and other organs. The patient was subjected to a wide excision, wherein the left axillary lymph node was dissected, followed by the administration of adjuvant chemotherapy and radiation therapy. After 17 months of disease-free survival, the patient was diagnosed with Paget's disease of the contralateral accessory breast. He underwent wide excision surgery along with radiation therapy. To the best of our knowledge, this is the first report of bilateral extramammary Paget's disease in a male.

키워드

Axilla; Breast neoplasms, male; Paget's disease, mammary

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