Preliminary analysis of the efficacy of Mohs micrographic surgery combined with photodynamic therapy in a case of noninvasive extramammary Paget's disease.

Le Han, Yuchen Jiang, Miaojian Wan
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Abstract

Purpose: To evaluate the efficacy of Mohs micrographic surgery (MMS) combined with photodynamic therapy (PDT) in treating non-invasive extramammary Paget's disease (EMPD).

Materials and methods: A 77-year-old male patient with non-invasive EMPD was treated with MMS followed by PDT. Preoperative fluorescence localization using 5-aminolevulinic acid (ALA) was performed to determine the surgical scope. MMS was conducted under lumbar anesthesia with intraoperative frozen-section pathology. Postoperative PDT was administered weekly for three sessions.

Results: The patient achieved negative surgical margins after two rounds of intraoperative pathology. Postoperative follow-up over two years showed no recurrence, and the patient did not experience significant adverse reactions.

Conclusion: The combination of MMS and PDT was effective in treating non-invasive EMPD, demonstrating favorable clinical outcomes and no recurrence over the two-year follow-up period.

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莫氏显微摄影手术联合光动力疗法对一例非侵入性乳腺外帕吉特病疗效的初步分析。
目的:评估莫氏显微放射手术(MMS)联合光动力疗法(PDT)治疗非侵袭性乳腺外帕吉特氏病(EMPD)的疗效:一名77岁的非侵袭性EMPD男性患者接受了MMS治疗,随后接受了PDT治疗。术前使用 5-氨基乙酰丙酸(ALA)进行荧光定位,以确定手术范围。MMS 在腰部麻醉下进行,术中进行冰冻切片病理检查。术后每周进行三次光动力疗法:结果:经过两轮术中病理检查,患者的手术切缘呈阴性。术后随访两年未见复发,患者也没有出现明显的不良反应:结论:MMS 和光动力疗法联合治疗非侵袭性 EMPD 效果显著,临床疗效良好,随访两年无复发。
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