頁籤選單縮合
題 名 | Paget's Disease of the Vulva: A Case Report=外陰Paget's疾病--病例報告 |
---|---|
作 者 | 蕭鶯玲; 周邦新; 葉坤士; 許瑞昌; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 38:2 1999.06[民88.06] |
頁 次 | 頁63-66 |
分類號 | 417.3 |
關鍵詞 | 外陰Paget's疾病; Paget's disease of the vulva; |
語 文 | 英文(English) |
中文摘要 | 背景:外陰Paget's疾病是相當罕見的婦科癌症。彰化基督教醫院八年來(一九九 一到一九九八)僅發現一例外陰Paget's疾病。 病例報告:一位65歲停經後婦女主訴經常陰部搔癢及腫脹約兩年。經外陰部切片檢查, 確定診斷為陰唇Paget's疾病。術前檢查包括膀胱鏡、直腸鏡、乳房檢查及陰道鏡皆顯示正 常。病人接受寬廣的局部性切除手術,並作術中冷凍切片檢查。術後在門診追蹤,目前情況 穩定。 結論:外陰Paget's疾病在治療前需作徹底檢查,切除手術的範圍及深度必須足夠,而 且術後的追蹤也很重要。由於陰唇Paget's疾病不具特異臨床症狀及外觀,很容易被誤診為 慢性發炎或濕疹。作婦科檢查時必須仔細觀察外陰,有任何懷疑病兆應作切片檢查,以避免 延誤診斷。 |
英文摘要 | Background; Paget's disease of the vulva is a rare neoplasm. During the past eight years (1991-1998), one case of vulvar Paget's disease was diagnosed and treated at our hospital. Case Report: A 65-year-old woman came to our hospital with the chief complaint of vulvar pruritus and occasional swelling for two years. Biopsy confirmed the diagnosis of Paget's disease of the vulva. Preoperative examinations including cystoscopy, proctoscopy, colposcopy, and breast examination did not reveal malignancy. She received a wide local excision with intraoperative frozen section examination. Her postoperative course was uneventful. She is currently under intensive follow-up. Conclusion: A thorough preoperative work-up, intraoperative frozen section examinations to determine the clearance of section margins, and intensive postoperative follow-up are mandatory. To avoid misdiagnosis, we would like to emphasize that careful vulvar inspection and biopsies of any suggestive lesions are necessary. |
本系統中英文摘要資訊取自各篇刊載內容。