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阴囊Paget病的临床和病理研究
引用本文:蔡晓晴,李文光,吴士成.阴囊Paget病的临床和病理研究[J].罕少疾病杂志,2002,9(1):1-3.
作者姓名:蔡晓晴  李文光  吴士成
作者单位:南通医学院附属医院泌尿外科,江苏,南通,226001
摘    要:目的:探讨阴囊Paget病的临床特点和诊治方法。方法:对14例阴囊Paget病患的临床、病理资料以及治疗和随访情况进行回顾性研究。结果:14例患均经病理检查证实并行手术治疗,随访期2-12年,1例腹股沟淋巴结阳性1年后死于全身转移,3例死于非癌疾病,3例行腹股沟淋巴结清扫2例发生皮肤坏死、淋巴瘘等并发症。结论:本病的诊断主要依靠病理学检查,阴囊局部扩大切除术是首选治疗方法,预后主要取决于病变浸润和淋巴结转移的程度以及邻近内脏器官癌肿的有无,早期诊断是提高生存率的关键。

关 键 词:佩吉特病  病理学  阴囊Paget病  临床特征  诊断  治疗  临床分期  发病机制
文章编号:1009-3257(2002)01-0001-03
修稿时间:2001年6月12日

Clinicopathologic study of Paget's disease of scrotum
CAI Xiao-qing,LI Wen-guang,WU Shi-cheng.Clinicopathologic study of Paget''''s disease of scrotum[J].Journal of Rare and Uncommon Diseases,2002,9(1):1-3.
Authors:CAI Xiao-qing  LI Wen-guang  WU Shi-cheng
Institution:CAI Xiao-qing,LI Wen-guang,WU Shi-cheng. Department of Urology,The Affiliated Hospital,Nantong Medical College,Nantong 226001,China
Abstract:Objective To study the Clinicopathologic features and the treatment of Paget's disease involving the scrotum. Methods 14 cases of scrotal Paget's disease were studied retrospectively from 1978 to 1999. Results 14 cases of Paget's disease of scrotum were successfully treated surgically and diagnosis was confirmed on pathological studies. The follow up showed that 1 case of positive inguinal lymph nodes had died of whole metastasis after 1 year and 3 cases had died of other diseases. The lymphatic fistula and necrosis of skin were main complication. Conclutions Early biopsy and wide excision of the scrotal leison is the first choice of treatment for Paget's disease.
Keywords:Paget's disease  tumor of scrotum  pathology
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