Resumen. —Presentamos el caso de una mujer con enfermedad de Paget extramamaria gigante, de localización perianal. Dada la edad de la paciente. Mammary Paget disease (PD) of the nipple was first described by Sir James This process targets the genital skin, perianal skin, and other. Publication – Article. Enfermedad de Paget perianal. Cirugía Española,
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Extramammary Paget’s Disease of the perianal region. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. Perianal Paget disease PPD is a rare carcinoma, characterized by the presence of atypical Paget’s cells in the anal or perianal epidermis.
If you are a member of the AEDV: During this procedure, a perianal papilla was observed Fig. This item has received. Subscriber If you already have your login data, please click here. Hospital Center of Vila Nova de Gaia.
Are you a health professional able to prescribe or dispense drugs? Discussion Perianal Paget disease PPD is a rare carcinoma, characterized by the presence of atypical Paget’s cells in the anal or perianal epidermis. Because of the patient’s age, the location and great size of the tumor, radiotherapy treatment was indicated.
Pageh pathogenesis is not well defined, but PPD can be classified as primary majority of the casesarising as a primary adenocarcinoma in the epidermis, or secondary, resulting from epidermotropic spread or metastasis of an underlying cancer, mainly gastrointestinal 2. The CK20 is a marker of anorectal carcinoma with pagetoid diffusion.
Se continuar a navegar, consideramos que aceita o seu enferrmedad. Although the optimal follow-up remains controversial, the long term follow-up is needed because it has an increased tendency for local recurrence. He was submitted to a widening of the anal margin of the lesion. The capacity of the tumor cells to move from their place of onset to skin is known as pagetoid diffusion, as observed in our patient.
You can change the settings or obtain more information by clicking here. The only perianal lesion present was a papilla, observed after the endoscopic resection of the rectal carcinoma.
Enfermedad de Paget perianal – Dimensions
For invasive cancer, the abdominoperineal resection is the treatment of choice 4. Paget disease presenting as a perianal papilla: This item has received. One month later, an endoscopic tattooing of the mucosectomy scar was done, because the surgeons wanted to know exactly the location of the scar, in order to perform the most conservative transanal resection.
Presentation of six cases and literature review. From Monday to Friday from 9 a. A year-old man with no relevant personal history, was referred to our enfermedae because of anal bleeding. Show more Show less.
Histological examination excluded residual adenocarcinoma in the rectal wall flap, but, in the papilla, there were signet ring cells with a “pagetoid” spread to the glandular structures Fig. Previous article Next article. Report of a unique case Enfermedad de Paget presentada como papila perianal: Dear Editor, A perianall man with no relevant personal history, was referred to our department because of anal bleeding. Digital rectal examination enffrmedad a large polypoid mass.
Si continua navegando, consideramos que acepta su uso. Colonoscopy showed, close to the dentate line, a sessile polyp of 4 cm in size Fig.
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SRJ is a prestige metric based on the idea that not all citations are the same. SNIP measures contextual citation impact by wighting citations based on perianak total number of citations ebfermedad a subject field.
Ultrasound endoscopy and pelvic MRI showed a mucosal lesion. This case emphasizes that, even in the absence of clinical signs of PPD, pathologic examination of the perianal area is import in patients with anorectal carcinoma. Besides, we should value all the anal findings because papilla can be a form of presentation of PPD. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.
The patient underwent endoscopic resection of the lesion in retroflexion Fig. Go to the members area of the website of the AEDV, https: Int J Colorectal Dis ; Subscriber If you already have your login data, please click here. December Pages Report of a unique case. Continuing navigation will be considered as acceptance of this use. Int J Colorect Dis ;7: Usually, the PPD presents as an erythematous lesion and patients describe eczema-like symptoms.
Mireia Merichal Resina a. Enfermedad de Paget extramamaria perianal: From Monday to Friday from 9 a.
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Wide local excision is recommended in PPD when invasiveness is absent.