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肛周鲍恩病的外科视角:一例罕见病例报告

Surgical perspective on perianal Bowen's disease: A rare case report.

作者信息

Omry Ahmed, Zarg El Ayoun Radhwen, Behi Hager, Changuel Amel, Tlili Karima, Khalifa Med Bachir

机构信息

General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.

General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.

出版信息

Int J Surg Case Rep. 2024 Apr;117:109459. doi: 10.1016/j.ijscr.2024.109459. Epub 2024 Mar 4.

Abstract

INTRODUCTION AND IMPORTANCE

Bowen's Disease (BD) stands out as a dermatologic entity known for its rarity and diagnostic intricacies. While BD is recognized for its diverse clinical presentations, its occurrence in the perianal region is particularly exceptional. Our case contributes to the limited body of knowledge regarding perianal BD, shedding light on its distinctive characteristics and guiding clinicians in navigating the intricacies associated with this uncommon presentation.

CASE PRESENTATION

We present the case of a 67-year-old female who sought medical attention for persistent itching in the perianal region. A thorough examination revealed a solitary BD lesion, a notable rarity in this anatomical site. Considering the distinctive characteristics and location, surgical excision was chosen as the preferred treatment strategy. The postoperative course was straightforward, yielding favorable aesthetic outcomes and no recurrence.

CLINICAL DISCUSSION

The clinical discussion explores the unique challenges associated with perianal BD, emphasizing the rarity of its presentation and its potential to mimic other dermatologic conditions. Factors contributing to the diagnosis, including clinical indicators and risk factors, are scrutinized. Furthermore, the discussion delves into the evolving landscape of diagnostic tools and treatment modalities, especially relevant in the context of perianal BD.

CONCLUSION

This case illuminates the rarity of BD in the perianal region, serving as a valuable addition to the limited body of knowledge on this unusual presentation. By unraveling the complexities associated with perianal BD, this report contributes to a deeper understanding of the disease and provides insights that can guide clinicians in navigating similar cases.

摘要

引言与重要性

鲍温病(BD)作为一种皮肤病实体,以其罕见性和诊断复杂性而闻名。虽然BD因其多样的临床表现而被认可,但其在肛周区域的发生尤为特殊。我们的病例为关于肛周BD的有限知识体系做出了贡献,揭示了其独特特征,并指导临床医生应对与这种罕见表现相关的复杂性。

病例介绍

我们报告一例67岁女性,因肛周持续瘙痒前来就医。全面检查发现一个孤立的BD病变,在这个解剖部位极为罕见。考虑到其独特特征和位置,选择手术切除作为首选治疗策略。术后过程顺利,取得了良好的美学效果且无复发。

临床讨论

临床讨论探讨了与肛周BD相关的独特挑战,强调其表现的罕见性以及模仿其他皮肤病的可能性。对有助于诊断的因素,包括临床指标和风险因素进行了仔细审查。此外,讨论深入探讨了诊断工具和治疗方式的不断发展,这在肛周BD的背景下尤为相关。

结论

本病例阐明了BD在肛周区域的罕见性,是关于这种不寻常表现的有限知识体系的宝贵补充。通过揭示与肛周BD相关的复杂性,本报告有助于更深入地了解该疾病,并提供可指导临床医生处理类似病例的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d97/10937826/c55410d93694/gr1.jpg

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