摘要
目的 :探讨阴囊Paget病的临床特点和诊治方法。 方法 :对 15例阴囊Paget病患者的临床、病理资料以及治疗和随访进行回顾性研究 ,全部患者先行患处活检 ,后行手术治疗。 结果 :15例患者病理检查均可见Paget病的典型特征 ;13例获随访 ,随访时间 0 .5～ 13年 ;2例术后 2年死于广泛转移 ,3例术后死于心脑血管病 ,1例术后 3年局部复发 ,再行手术切除 ;其余 7例无复发。 结论 :阴囊Paget病应尽早行皮肤活检确诊 ,局部广泛切除是本病首选治疗方法 ,手术效果好 ,预后满意 ,对局部复发可行二次手术。
Objective: To study the clinicopathologic features and treatment of Paget's disease of the scrotum. Methods: Fifteen cases of Paget's disease of the scrotum,pathologically diagnosed and successfully treated by surgery from 1987 to 2003,were studied retrospectively. Results: Typical pathological features were observed in all the patients. Thirteen cases were followed up for 0.5 ～13 years,of whom 1 case relapsed within 3 years,2 died of metastasis after 2 years,and 3 died of cardiovascular diseases,with no recurrence in the others. Conclusion: Early biopsy and extensive excision of the scrotal lesion is the first choice of treatment for Paget's disease,with good operative effect and satisfactory prognosis. A 2 nd operation could be considered for patients of local relapse.
出处
《中华男科学杂志》
CAS
CSCD
2004年第6期437-438,442,共3页
National Journal of Andrology
关键词
阴囊肿瘤
PAGET病
诊断
手术治疗
neoplasm of scrotum
Paget's disease
diagnosis
surgical therapy
