Umemoto S, Inoue S, Amemiya T, Oka S, Hara T, Koizumi K, Nishida K
Department of Surgery, Otawara Red Cross Hospital, Tochigi, Japan.
Gastroenterol Jpn. 1993 Oct;28(5):719-24. doi: 10.1007/BF02806354.
A case of perianal invasive Paget's disease associated with a sigmoid colon carcinoma is presented. The chief complaint was perianal irritation for a year. Histologic examination yielded a correct diagnosis and abdominosacral resection with wide excision of the cutaneous component was performed. Histology of the resected specimen revealed the Paget's disease to be invasive of the dermis, the sigmoid colon carcinoma to be in Dukes' A stage and the two lesions to be different. The patient has been disease-free for more than 5 years after the operation.
本文报告1例伴有乙状结肠癌的肛周浸润性佩吉特病。主要症状为肛周瘙痒1年。组织学检查明确了诊断，并进行了腹骶切除术，广泛切除皮肤病变。切除标本的组织学检查显示，佩吉特病侵犯真皮，乙状结肠癌处于Dukes A期，二者为不同病变。患者术后已无病生存5年以上。
