摘要
目的 探讨阴囊Paget病的临床特征、治疗原则和预后因素。方法 回顾性分析我院1993年至2004年收治的经病理证实为阴囊Paget病患者的临床资料。79例患者平均年龄62.3岁,平均病程3年7个月。除1例采用激光治疗外,其余78例均采用局部扩大切除术。7例腹股沟区淋巴结转移者行髂腹股沟淋巴结清扫术。结果 术后局部复发9例,与本病相关死亡3例。结论 阴囊Paget病术后预后良好,治疗的关键是对该病提高警惕,并及早进行组织学检查。
Objective To investigate the clinicopathologic feature and treatment result as well as prognosis of Paget's disease of the scrotum. Methods The data of 79 patients with Paget's disease of the scrotum confirmed pathologically from 1993 to 2004 were retrospectively analyzed. The median age of these patients was 62.3 years. The median duration of the disease was 3 years and 7 months. Locally extensive excision and intra-operative frozen section analysis of resection margin were performed in 78 patients. Inguinal and iliac radical lymphadenectomy was done in 7 patients with inguinal lymph node metastasis. Results Local recurrence developed in 9 patients, and 3 patients died of the disease during follow-up. Conclusion The prognosis of Paget's disease of the scrotum after surgical resection is good. To highly watch out for the disease, to perform histological examination and surgical resection as early as possible are keys to control it successfully.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
2007年第4期309-311,共3页
Chinese Journal of Oncology