Departmental Bulletin Paper 膀胱全摘尿管皮膚瘻造設術後に続発性乳房外Paget 病を来たした1例
A Case of Secondary Extramammary Paget's Disease Aroundthe Cutaneous Stoma after Radical Cystectomy

神田, 壮平  ,  大久保, 和俊  ,  飛田, 卓哉  ,  河野, 仁  ,  高橋, 毅  ,  光森, 健二  ,  嶋田, 俊秀  ,  西村, 一男

63 ( 9 )  , pp.381 - 386 , 2017-09-30 , 泌尿器科紀要刊行会
ISSN:0018-1994
NCID:AN00208315
Description
We present a case of secondary extramammary Paget's disease around the cutaneous ureterostomy stoma after radical cystectomy. An 85-year-old man with bacillus calmette-guérin refractory high-grade urothelial carcinoma underwent radical cystectomy and cutaneous ureterostomy construction. After right ureter cancer diagnosis, he underwent right nephroureterectomy 3 years after the cystectomy. He developed refractory dermatitis around the cutaneous stoma 1 year after the nephroureterectomy. Skin biopsy revealed secondary extramammary Paget's disease, cured by skin excision around the cutaneous stoma and skin grafting. Multiple urothelial carcinoma metastases were detected 6 months later ; he died of urothelial cancer 1 month later.
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