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Penile reconstruction for extramammary Paget's disease
Mitsuo Hatoko1, Masamitsu Kuwahara, Aya Tanaka
1Division of Plastic Surgery, Nara Medical University, 840 Shijocho, Kashihara, Nara 634-0813, Japan.
Annals of Plastic Surgery
|June 11, 2002
Summary
This case study details extramammary Paget's disease affecting the penis, necessitating extensive resection and reconstruction. The patient achieved tumor-free status post-reconstruction with functional recovery.
Area of Science:
- Urology
- Surgical Oncology
- Dermatopathology
Background:
- Extramammary Paget's disease (EMPD) is a rare intraepithelial adenocarcinoma.
- Penile involvement is exceptionally uncommon, posing unique surgical challenges.
Observation:
- A rare case of EMPD presenting with penile deformity is described.
- Tumor invasion extended into the penile dermis and urethral epithelium, with associated fibrotic changes in the corpus cavernosum.
Findings:
- Surgical resection involved over half the penile length.
- Reconstruction utilized a free sensory radial forearm flap, with skin grafts for associated defects.
- Post-operative follow-up showed no recurrence or metastasis at 10 months.
Implications:
- This case highlights the feasibility of penile reconstruction following extensive tumor resection for rare penile EMPD.
- Successful reconstruction can achieve oncologic control and preserve urinary and sensory function.