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原发性外阴佩吉特病——临床怀疑的重要性。

Primary vulvar Paget disease - the importance of clinical suspicion.

作者信息

Mota Fernando, Horta Miguel, Marques Claudia, Foreid Susan, Selores Manuela

机构信息

Dermatology Department, Centro Hospitalar do Porto, Portugal.

出版信息

Dermatol Online J. 2017 Oct 15;23(10):13030/qt6ff381x4.

PMID:29469786
Abstract

Extramammary Paget disease of the vulva is a rare condition that accounts for only 1-2% of vulvar malignancies and represents a frequent cause of misdiagnosis. It is most commonly seen in postmenopausal women. Clinically it is similar to Paget disease of the breast, appearing as red, well-demarcated eczematoid lesions, with slightly raised edges. A high degree of clinical suspicion is very important when evaluating these lesions in order to avoid misdiagnosis and delay of effective treatment. We present a case of vulvar Paget disease treated with vulvectomy.

摘要

外阴部乳房外佩吉特病是一种罕见疾病,仅占外阴恶性肿瘤的1%-2%,且是误诊的常见原因。它最常见于绝经后女性。临床上它与乳腺佩吉特病相似,表现为边界清晰的红色湿疹样病变,边缘略有隆起。在评估这些病变时,高度的临床怀疑非常重要,以避免误诊和有效治疗的延迟。我们报告一例接受外阴切除术治疗的外阴佩吉特病病例。

相似文献

1
Primary vulvar Paget disease - the importance of clinical suspicion.原发性外阴佩吉特病——临床怀疑的重要性。
Dermatol Online J. 2017 Oct 15;23(10):13030/qt6ff381x4.
2
Extramammary Paget's disease of the vulva.外阴部乳房外佩吉特病
BMJ Case Rep. 2013 Nov 21;2013:bcr2013200623. doi: 10.1136/bcr-2013-200623.
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Cytologic detection of recurrence in extramammary Paget's disease of the vulva: a report of two cases.外阴部乳房外佩吉特病复发的细胞学检测:两例报告
Acta Cytol. 2010 Sep-Oct;54(5 Suppl):1007-12.
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[Vulvar Paget's disease--clinical and pathological analysis].[外阴佩吉特病——临床与病理分析]
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Paget Disease of the Vulva: Significance of Surgical Margin Status.外阴佩吉特病:手术切缘状态的意义
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Surgical Treatment of Paget Disease of the Vulva: Prognostic Significance of Stromal Invasion and Surgical Margin Status.外阴佩吉特病的外科治疗:间质浸润和手术切缘状态的预后意义
J Low Genit Tract Dis. 2016 Jul;20(3):e53-4. doi: 10.1097/LGT.0000000000000232.
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Fluorescein Mapping in Vulvar Paget Disease.外阴派杰病的荧光素图谱。
Obstet Gynecol. 2023 Mar 1;141(3):608-612. doi: 10.1097/AOG.0000000000005084. Epub 2023 Feb 2.
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Conservative management of extramammary paget disease with imiquimod.咪喹莫特治疗乳腺外 Paget 病的保守治疗。
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Paget disease of the vulva.外阴佩吉特病
JAAPA. 2019 Mar;32(3):33-34. doi: 10.1097/01.JAA.0000550285.65463.a9.

引用本文的文献

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Vulvar Paget's Disease: A Systematic Review of the MITO Rare Cancer Group.外阴佩吉特病:MITO罕见癌症研究小组的系统评价
Cancers (Basel). 2023 Mar 16;15(6):1803. doi: 10.3390/cancers15061803.
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A strengthening the reporting of observational studies in epidemiology (STROBE): Are HE4 and CA 125 suitable to detect a Paget disease of the vulva?加强流行病学观察性研究报告的规范(STROBE):HE4 和 CA125 是否适合检测外阴 Pagets 病?
Medicine (Baltimore). 2021 Feb 5;100(5):e24485. doi: 10.1097/MD.0000000000024485.
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Genitourinary extramammary Paget's disease: review and outcome in a multidisciplinary setting.
泌尿生殖系统乳腺外佩吉特病:多学科背景下的综述与转归
Int J Clin Exp Pathol. 2020 Sep 1;13(9):2369-2376. eCollection 2020.
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Paget disease of the vulva an analysis of 24 cases.外阴佩吉特病:24例分析
Medicine (Baltimore). 2019 Oct;98(41):e17018. doi: 10.1097/MD.0000000000017018.