頁籤選單縮合
題 名 | A Wide Skip Lesion in a Case of Extramammary Paget's Disease=一位乳腺外佩吉特氏病人伴有廣泛跳躍式病灶 |
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作 者 | 蕭順裕; 蔡永發; 黃佩雯; 張國明; 楊文瑞; 李得安; | 書刊名 | 臺灣癌症醫學雜誌 |
卷 期 | 28:2 2012.06[民101.06] |
頁 次 | 頁99-104 |
分類號 | 416.27 |
關鍵詞 | 跳躍式病灶; 乳腺外佩吉特氏病; Skip lesion; Extramammary Paget's disease; |
語 文 | 英文(English) |
中文摘要 | 乳腺外佩吉特氏病常常出現在陰戶或男性外生殖器區域,因為此區域有大汗腺。這 種疾病的預後常常較乳腺佩吉特氏病來得好。選擇的治療方式是外科廣泛切除。這個病 人接受原始病灶旁 12 公分距離廣泛切除直到冰凍切片顯示無殘餘腫瘤,但是最終報告顯 示即使經過這樣廣泛切除仍有殘餘腫瘤(跳躍式病灶)。這事實提醒我們即使切除邊緣無腫 瘤,但更遠處可能還有跳躍式病灶。病人此後接受 Imiquimod 藥膏治療追蹤一年並無復發 情形。 |
英文摘要 | Extramammary Paget’s disease usually appears in the vulva or male genital area where apocrine glands are found. It often has a more favorable prognosis than mammary Paget’s disease. The treatment of choice is surgery with wide excision. The patient reported here underwent wide excision with a 12-cm margin, which was continued until the frozen section revealed no tumor cell, but the final pathology report showed that there were residual tumors (skip lesion) even after such a wide excision. This fact reminds us of the possibility of a wide skip lesion even if the margin of excision is free of tumor. This patient was treated with Imiquimod cream thereafter and no recurrence was noted within one year. |
本系統中英文摘要資訊取自各篇刊載內容。