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外阴佩吉特病:妇科医生面临的挑战。

Paget's disease of the vulva: A challenge for the gynaecologist.

机构信息

Department of Obstetrics, Gynecology and Human Reproduction, CHU Anne De Bretagne, Rennes, France.

Department of Pathological Anatomy and Cytology, CHU Pontchaillou, Rennes, France.

出版信息

J Gynecol Obstet Hum Reprod. 2021 Jan;50(1):101896. doi: 10.1016/j.jogoh.2020.101896. Epub 2020 Aug 20.

DOI:10.1016/j.jogoh.2020.101896
PMID:32828871
Abstract

Paget's disease of the vulva is a rare form of extramammary Paget's disease mainly affecting postmenopausal women. Its pathophysiology remains largely unknown. Up to fairly recently, the only treatment for this disease was surgery, often mutilating the vulva, with significant psychosexual repercussions without the assurance of complete therapeutic efficacy. New therapeutic approaches -topical treatments, radiotherapy or chemotherapy- have emerged in recent years but lack consensual guidelines. We present a literature review of the recent results published in this field.

摘要

外阴佩吉特病是一种罕见的乳腺外佩吉特病,主要影响绝经后妇女。其病理生理学仍知之甚少。直到最近,这种疾病的唯一治疗方法是手术,通常会对外阴造成严重的损伤,带来显著的心理性影响,而且不能保证完全的治疗效果。近年来出现了一些新的治疗方法,如局部治疗、放疗或化疗,但缺乏共识性的指南。我们对该领域最近发表的文献进行了回顾。

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1
Paget's disease of the vulva: A challenge for the gynaecologist.外阴佩吉特病:妇科医生面临的挑战。
J Gynecol Obstet Hum Reprod. 2021 Jan;50(1):101896. doi: 10.1016/j.jogoh.2020.101896. Epub 2020 Aug 20.
2
Interventions for the treatment of Paget's disease of the vulva.外阴佩吉特病的治疗干预措施。
Cochrane Database Syst Rev. 2019 Jun 5;6(6):CD009245. doi: 10.1002/14651858.CD009245.pub3.
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Extensive extramammary Paget's disease of the vulva involving the bladder postradical split skin graft reconstruction.广泛的外阴部乳房外佩吉特病累及膀胱,行根治性植皮重建术后。
BMJ Case Rep. 2019 Mar 9;12(3):e228478. doi: 10.1136/bcr-2018-228478.
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A Case of Chronic and Relapsing Paget Disease of the Vulva.一例慢性复发性外阴佩吉特病
Rev Bras Ginecol Obstet. 2019 Jun;41(6):412-416. doi: 10.1055/s-0039-1687861. Epub 2019 Apr 24.
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Interventions for the treatment of Paget's disease of the vulva.外阴佩吉特病的治疗干预措施。
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[Cryosurgery and photodynamic therapy for the treatment of Paget's disease of the vulva: two cases].[冷冻手术和光动力疗法治疗外阴佩吉特病:两例报告]
Ann Dermatol Venereol. 2013 Apr;140(4):282-6. doi: 10.1016/j.annder.2013.01.425. Epub 2013 Feb 28.
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[Concurrence of primary extramammary Paget's disease of the vulva and vulval intra-epithelial neoplasia: A case report].[外阴原发性乳房外佩吉特病与外阴上皮内瘤变并存:一例报告]
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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.
2
Is There a Place for Immune Checkpoint Inhibitors in Vulvar Neoplasms? A State of the Art Review.免疫检查点抑制剂在外阴肿瘤中的应用前景?一项综述。
Int J Mol Sci. 2020 Dec 27;22(1):190. doi: 10.3390/ijms22010190.