阴茎阴囊部乳房外佩吉特病广泛局部切除术后带蒂股前外侧皮瓣修复：1例报告及文献综述
Reconstruction With Pedicled Anterolateral Thigh Flap After Wide Local Excision of Penoscrotal Extramammary Paget's Disease: A Case Report and Comprehensive Literature Review.
作者信息
Hunter Cedric L, Skinner Eila C, Lee Gordon K
机构信息
Division of Plastic Surgery, Stanford University Medical Center, Palo Alto, Calif.
Department of Urology, Stanford University Medical Center, Palo Alto, Calif.
出版信息
Eplasty. 2015 Jun 24;15:e26. eCollection 2015.
OBJECTIVE
The clinical characteristics, management, and prognostic indicators of penoscrotal extramammary Paget's disease are not clearly defined. Surgical excision is often an effective treatment modality but results in a large wound after resection of all involved tissues.
METHODS
Reconstruction of large penoscrotal soft-tissue defects after wide local excision remains a challenge to the reconstructive surgeon. The use of the anterolateral thigh flap for penoscrotal reconstruction after resection of extramammary Paget's disease is infrequent as a reconstruction tool throughout the literature.
RESULTS
We discuss a case where the anterolateral thigh flap was effectively used for reconstruction of a large penoscrotal defect after wide local excision of penoscrotal extramammary Paget's disease and present a comprehensive literature review of extramammary Paget's disease key features, diagnosis, prognosis, and treatment.
CONCLUSIONS
The anterolateral thigh flap is a useful tool for penoscrotal defect reconstruction.
目的
阴茎阴囊部乳腺外佩吉特病的临床特征、治疗方法及预后指标尚未明确界定。手术切除通常是一种有效的治疗方式，但切除所有受累组织后会导致较大的伤口。
方法
阴茎阴囊广泛局部切除术后大面积软组织缺损的重建对重建外科医生来说仍是一项挑战。在整个文献中，很少将股前外侧皮瓣用于阴茎阴囊部乳腺外佩吉特病切除术后的重建。
结果
我们讨论了一例股前外侧皮瓣有效用于阴茎阴囊部乳腺外佩吉特病广泛局部切除术后大面积阴茎阴囊缺损重建的病例，并对乳腺外佩吉特病的关键特征、诊断、预后及治疗进行了全面的文献综述。
结论
股前外侧皮瓣是阴茎阴囊缺损重建的一种有用工具。
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