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Extramammary Paget disease: five perianal case report and treatment options
Heng Deng1, Xiaoli Fang2, Ming Li2
1Anorectal Surgery Center, Second Hospital Affiliated Anhui University of Chinese Medicine, Hefei, China.
Abstract:
We present five cases of perianal Paget disease (PPD). Two cases underwent a wide local excision (WLE) of PPD plus skin flap transfer surgery with good curative effect. One case of PPD complicated with mucinous adenocarcinoma underwent a laparoscopic abdominoperineal resection (Miles), which may be the extremes of clinical treatment of the disease. The remaining two cases passed away without surgery after they refused further treatments. This article aims to draw attention to relationship among the correct diagnosis, protection of anal function and treatment options of PPD.
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