摘要
目的:探讨阴囊Paget病的诊断、治疗、复发因素及预后,提高诊治水平。方法:回顾性分析本院1996～2008年诊治的阴囊Paget病患者的临床资料。结果:23例患者中,局限于一侧阴囊者15例,累及双侧阴囊及阴茎者8例;病变同侧腹股沟淋巴结肿大者3例(2例术后病理证实为转移癌,1例为炎症),双侧腹股沟淋巴结肿大者2例(1例术后病理证实为转移癌,1例为慢性炎症改变)。全部病例均经活检明确诊断,并均行手术治疗。术后定期随访2～68个月,其中术后局部复发5例,因远处转移死亡2例。结论:活检是早期诊断阴囊Paget病重要方法,病变处阴囊的早期广泛切除是治疗阴囊Paget病的首选治疗手段。
Objective：To explore the clinical manifestation,management,recurrence factors and prognosis of scrotal Paget＇s disease.Methods：We retrospectively analyzed the clinical and pathological data of 23 cases of scrotal Paget＇s disease diagnosed and treated in our hospital from 1996 to 2008.Results：The disease was confined to one side of the scrotum in 15,and involved the whole scrotum and penis in 8 of the cases.Three patients showed enlarged inguinal lymph nodes in the same side,and 2 in both sides.All the cases were confirmed by biopsy and treated by surgery.Post-operative follow-up was conducted for 2-68 months,which revealed 5 cases of local recurrence and 1 case of death for systemic metastasis.Conclusion：Biopsy is proved to be important for the early diagnosis of scrotal Paget＇s disease,and extended excision of local lesion is a preferred management.
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2010年第5期453-455,共3页
National Journal of Andrology
