Kim Chang Woo, Kim Yon Hee, Cho Min Soo, Min Byung Soh, Baik Seung Hyuk, Kim Nam Kyu
Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Department of Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Ann Coloproctol. 2014 Oct;30(5):241-4. doi: 10.3393/ac.2014.30.5.241. Epub 2014 Oct 28.
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 cm(2) × 9 cm(2), and the lateral and the basal margins were all disease free.
乳腺外佩吉特病（EMPD）的发病率非常低。一名84岁的韩国男性在当地皮肤科诊所接受了一年的局部和口服药物治疗，但症状并未改善。他前往Severance医院，接受了肛周皮肤活检，最终被诊断为EMPD。作者在病变周围1厘米边缘处进行了广泛的局部切除。对于皮肤和软组织缺损，进行了双侧臀下动脉穿支皮瓣转移术。病变大小为14平方厘米×9平方厘米，外侧和基底边缘均无病变。
