A CASE REPORT PERIANAL PAGET'S DISEASE

KATSUNAO NAKAGAMI; SUSUMU OHWADA; FUMIO WATANUKI; YOSHIHIRO OHYA; TAKASHI YOSHIDA; YASUO MORISHITA; KATSUYUKI OKADA; HIDEKI MIZUNUMA; TOSHIO UTSUGI; YOSHIYUKI KURABAYASHI

doi:10.2974/kmj1951.44.63

A CASE REPORT

PERIANAL PAGET'S DISEASE

KATSUNAO NAKAGAMI, SUSUMU OHWADA, FUMIO WATANUKI, YOSHIHIRO OHYA, TAKASHI YOSHIDA, YASUO MORISHITA, KATSUYUKI OKADA, HIDEKI MIZUNUMA, TOSHIO UTSUGI, YOSHIYUKI KURABAYASHI

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Keywords: Perianal Paget's disease, Extramammary Paget's disease

JOURNAL FREE ACCESS

1994 Volume 44 Issue 1 Pages 63-67

DOI https://doi.org/10.2974/kmj1951.44.63

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Abstract

A 65-year-old female suffered itching and erosion in the perianal region for 18 months. A biopsy specimen of the eroded skin disclosed Paget's cells. An abdominoperineal resection (Miles' operation) accompanied by posterior wall resection of the vagina was performed. Histological examination of the resected specimen showed Paget's cells whose presence of which was limited to within the epidermis. Miles' operation with an invasive tissue resection is the treatment of choice for perianal Paget's disease. Long-term follow-up is necessary because extramammary Paget's disease sometimes causes distant metastasis and is accompanied by malignancies of other organs.

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