外陰部巨大乳房外Paget病の1例

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  • A case of giant extramammary Paget's disease

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A 73-year-old man noticed he had an erythematous lesion on the scrotum at the age of 68 years. The skin lesion had not improved after being treated with an antimycotic ointment, and it gradually enlarged with exudates. On our first examination, the patient had a large erosive lesion, 43×37cm in diameter, on the scrotum, penis, inguinal areas and lower abdomen. A diagnosis of extramammary Paget's disease was historically made. The tumor was totally excised and the defect was reconstructed with splitthickness skin graft. Eight months after the operation, the patient died of general prostration caused by tumor metastasis. To our knowledge, our patient is the largest case of extramammary Paget's disease among the patients whose lesions were described in size. [Skin Cancer (Japan) 2006; 21: 323-326]

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