摘要
肛周Paget’s病是一种罕见的恶性疾病,其临床表现不典型,易与肛周慢性湿疹、鲍温病等相混淆,且在临床诊断、治疗、复发因素及预后判断等方面尚无统一标准与共识,临床上误诊率较高。为此本文从流行病学、分类及发病机制、临床表现、诊断依据、鉴别诊断、治疗手段及复发和预后方面对肛周Paget’s病做一综述,以提高临床医师对该病的认识。
Perianal Paget's disease is a rare malignant disease.Due to its atypical clinical manifestations,the disease is easily confused with chronic perianal eczema,abalone and other diseases,and there is no unified standard and consensus in clinical diagnosis,treatment,recurrence factors and prognosis judgment,so the misdiagnosis rate in clinical practice is high.Therefore,this paper will make a review of perianal Paget's disease from the aspects of epidemiology,classification,pathological features,clinical manifestations,differential diagnosis,treatment,recurrence and prognosis,so as to improve the clinicians'understanding of this disease.
作者
颜桂林
杜媛芳
蒲永平
刘鹂
杨向东
YAN Guilin;DU Yuanfang;PU Yongping;LIU Li;YANG Xiangdong(Chengdu Anorectal Hospital,Chengdu 610031,China;Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China)
出处
《中国全科医学》
CAS
北大核心
2020年第27期3496-3502,共7页
Chinese General Practice
关键词
佩吉特病
乳腺外
肛周Paget’s病
病理学
诊断
鉴别
治疗
预后
Paget disease,extramammary
Paget's disease of perianal
Pathology
Diagnosis
Differential
Therapy
Prognosis
作者简介
通信作者:杨向东,教授,主任医师,博士生导师,E-mail:y-xd@vip.163.com。
