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Metastatic vulvar Paget's disease responding to combination chemotherapy: case report
Authors:Y Yokoyama  M Mabuchi  I Kawabata  K Niwa  K Shimokawa  T Tamaya
Affiliation:Department of Obstetrics and Gynecology, Gifu University School of Medicine.
Abstract:No effective chemotherapy for advanced extramammary Paget's disease has yet been established. A case of vulvar Paget's disease with systemic metastases was treated with a mitomycin C, vincristine and cisplatin combination chemotherapy, by which the vulvar lesion and serum CEA were clearly decreased. After surgery and 5-fluorouracil treatment, a similar combination chemotherapeutic regimen was administered to treat a recurrence, however, the lesions became resistant.
Keywords:Extramammary Paget's disease    Carcinoembryonic antigen    Drug therapy    Cytokeratin
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