伴有片状扩散的直肠腺癌:一种新的实体。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY Case Reports in Gastrointestinal Medicine Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI:10.1155/2024/4952952
Lefika Bathobakae, Pasha Shenasan, Aakash Trivedi, Ruhin Yuridullah, Sohail Qayyum, Abraham El-Sedfy
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引用次数: 0

摘要

肛周帕吉特氏病(PPD)是一种罕见的皮肤腺癌,发生于肛周的分泌腺。它常被误诊为湿疹、白斑病、鳞状细胞癌、鲍温氏病、扁平苔藓或尖锐湿疣。我们报告了一例 63 岁男性患者的病例,他因肛门肿块持续 6 个月之久到急诊室就诊。经检查发现,患者患有直肠腺癌,并伴有腺样体扩散,患者接受了新辅助化疗,症状有所改善。然而,患者拒绝接受进一步化疗和腹部会阴部切除与重建计划,因为这需要永久性结肠造口。
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Rectal Adenocarcinoma With Pagetoid Spread: A Novel Entity.

Perianal Paget's disease (PPD) is a rare skin adenocarcinoma that arises in the apocrine glands of the perianal region. It is often misdiagnosed as eczema, leukoplakia, squamous cell carcinoma, Bowen's disease, lichen planus, or condylomata acuminata. We report a case of a 63-year-old male who presented to the emergency room (ER) for evaluation of an anal mass that had persisted over 6 months. The patient was found to have a rectal adenocarcinoma with pagetoid spread and underwent neoadjuvant chemoradiation with symptom improvement. However, the patient declined further chemotherapy and the planned abdominal perineal resection with reconstruction, as it would require a permanent colostomy.

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来源期刊
Case Reports in Gastrointestinal Medicine
Case Reports in Gastrointestinal Medicine GASTROENTEROLOGY & HEPATOLOGY-
自引率
0.00%
发文量
33
审稿时长
14 weeks
期刊最新文献
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