Sato Tomoi, Muto Ichiro, Oya Takeshi, Sakai Takeshi
Department of Surgery, Niigata Prefectural Central Hospital, Joetsu City, Niigata 943-0192, Japan.
Diagnostic Pathology, Niigata Prefectural Central Hospital, Joetsu City, Niigata 943-0192, Japan.
J Surg Case Rep. 2017 Jul 28;2017(7):rjx137. doi: 10.1093/jscr/rjx137. eCollection 2017 Jul.
Male mammary Paget's disease (MPD) is extremely rare. Furthermore, MPD with invasion downward into the dermis of the male nipple has been reported rarely. A 56-year-old Japanese man presented with a lump and eczema in the right nipple-areola area. Ultrasonography revealed only a cystic lesion below the right areola. With a diagnosis of MPD with invasion into the dermis associated with ductal carcinoma , mastectomy and sentinel lymph node biopsy were performed. MPD with dermal invasion is extremely rare, and only one male case has been reported in the English literature; therefore, the current case is the second case of male MPD with dermal invasion.
男性乳腺佩吉特病(MPD)极为罕见。此外,向下侵犯男性乳头真皮层的MPD鲜有报道。一名56岁的日本男性患者,其右侧乳头乳晕区出现肿块和湿疹。超声检查仅发现右侧乳晕下方有一个囊性病变。诊断为MPD伴真皮层侵犯及导管癌,遂行乳房切除术和前哨淋巴结活检。伴有真皮层侵犯的MPD极为罕见,英文文献中仅报道过一例男性病例;因此,本病例是第二例伴有真皮层侵犯的男性MPD。