医学
阴囊
乳外佩吉特病
近距离放射治疗
活检
红斑
阶段(地层学)
放射治疗
病态的
恶性肿瘤
放射科
外科
疾病
内科学
古生物学
生物
作者
Stefano Risso,Beatriz E Amendola,Naipy Pérez,Marco A. Amendola
标识
DOI:10.1016/j.brachy.2022.08.009
摘要
Extramammary Paget's disease (EMPD) is a rare but lethal intraepithelial malignancy without standardized guidelines concerning diagnostic or therapeutic approaches. We report a case of EMPD of the scrotum treated with excellent results using high-dose brachytherapy.A 76-year-old male originally presented in 2015 with pruritus and erythema of the right scrotum, biopsy proved to represent extramammary Paget's disease. He was treated for a year with topical creams without sustained relief. In July 2016 he underwent a right hemiscrotectomy which revealed stage 1 EMPD of the right scrotum and the medial thigh with positive margins but no deep invasion. Brachytherapy was selected as the most appropriate treatment option and carried out in December 2016 using HDR with a H.A.M. applicator and CT treatment planning.On December 2021, at 5 years of clinical and pathological follow up, the patient remains NED with minimal skin toxicity.High-Dose-Rate Brachytherapy appears to be a feasible treatment alternative as adjuvant therapy in patients with EMPD with incomplete resection.
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