抄録
We reported 30 cases of genitary Paget's disease which were admitted to Saitama Cancer Center from 1983 to 1997. The male and female ratio was 3:1. The average age of 30 cases was 69.4 years old. Skin manifestation of 23 cases were erosive erythematous lesions, 4 cases had nodular lesions, 2 cases had vitiligo-like lesions. We categorized 30 cases into stages in according to Oohara TNM classifications. The number of cases in each stages were Stage I: 16 cases, Stage II: 8 cases, Stage III: 2 cases, Stage IV: 4 cases. All stage I-III patients were alive by surgery alone, instead all stage IV patients died. The necessity of prophylactic lymphonode dissection of T3 patients was discussed. Also, we suggested the efficacy of 2cm surgical margins of genitary Paget's disease.
