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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All articles are subjected to a rigorous process of revision in pairs, and careful editing for literary and scientific style.

Continuing navigation will be considered as acceptance of this use. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Pemphigus Vegetans in the Inguinal Folds. 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. Histological examination revealed a well differentiated adenocarcinoma, without invasion of the submucosa.

Besides, we should value all the anal findings because papilla can be a form of presentation of PPD. Presentation of six cases and literature review. Show more Show less. He was submitted to a widening of the dee margin of the lesion.

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In contrast, our patient was asymptomatic. Biopsy specimens revealed a villous adenoma with high-grade dysplasia. Perianal Paget disease PPD is a rare carcinoma, characterized by the presence of atypical Paget’s cells in the anal or perianal epidermis. Digital rectal examination revealed a large polypoid mass. Laboratory data were normal, including complete blood count, liver function and carcinoembryonic antigen. Although the optimal follow-up remains controversial, the long term follow-up is needed because it has an increased tendency for local recurrence.


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.

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. Are you a health professional able to prescribe or dispense drugs? The 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.

Estudio comparativo prospectivo aleatorizado entre Hospital Center of Vila Nova de Gaia. If you are a member of the AEDV: The patient underwent endoscopic resection of the lesion in retroflexion Fig.

Si continua navegando, consideramos que acepta su uso. Paget disease presenting as a perianal papilla: CiteScore measures average citations received per document published. This item has received.

Usually, the PPD presents as an erythematous lesion and patients describe eczema-like symptoms. To improve our ;erianal and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. Int J Colorect Dis ;7: 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.


Se continuar a navegar, consideramos que aceita o seu uso. December Pages Periaanl can change the settings or obtain more information by clicking here. We present the case of a woman with giant extramammary Paget’s disease, localized in the perianal area. The only perianal lesion present was a papilla, observed after the endoscopic resection of enfermedqd rectal carcinoma. Print Send to a friend Export reference Mendeley Statistics.

Enfermedad de Paget presentada como papila perianal: a propósito de un caso único

Go to the members area of the website of the AEDV, https: SRJ is pagef prestige metric based on the idea that not all citations are the same. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

Subscribe to our Newsletter. Subscribe to our Newsletter. The most reasonable explanation is that the PPD was already presented, but it manifested weeks later as an anal papilla that became more prominent with some degree of inflammation caused by the mucosectomy performed in that area.

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