摘要
目的对１５例阴囊Ｐａｇｅｔ病的临床表现，治疗方法及其预后进行分析。方法１４例行病灶广泛切除，７例证实有腹股沟淋巴结转移的患者中５例行淋巴结清除术。４例患者由于创面缺损较大而行植皮，筋膜皮瓣及带血管蒂的腹直肌岛状肌皮瓣修复。结果７例有腹股沟淋巴结转移的患者中６例死亡，其中５例在５年内死亡。１例失访。无腹股沟淋巴结转移者均存活。结论阴囊Ｐａｇｅｔ病的治疗首选手术切除。一旦有淋巴结转移，其５年生存率较低。
URPOSE Fifteen patients of Paget's disease of the scrotum have been encountered.METHODS Fourteen patients were treated by wide local excision.In 7 patients with groin matastases,5 patients were performed by lymph node dissection.Fsiac falp and rectus abdominis myocutaneous flap were used to reconstruct the large defects after dissection in 4 patients.RESULTS There were 7 patients with groin matastases,of which 6 died within 5 years and 1 was lost to follow up.Patients without groin matastases were all survived.CONCLUSION Surgery is the treatment of choice for Paget's disease.Prognosis of patient with groin matastases is poor.
出处
《中国癌症杂志》
CAS
CSCD
1998年第2期143-145,共3页
China Oncology
