Journal List > Arch Hand Microsurg > v.23(1) > 1106632

Jang, Bae, Kim, and Kim: Perianal Paget's Disease Reconstruction with Bilateral Pacman Flap

초록

Extramammary Paget's disease is uncommon slow-growing intraepithelial adenocarcinoma which usually occurs in area of body where apocrine glands are present. A 70-year-old man had a dermatologic evaluation for anal bleeding and un-derwent a skin biopsy with diagnostic of Paget's disease in perianal region. Wide excision under intraoperative frozen biopsy and reconstruction operation was performed under general anesthesia. Final defect shape was elliptical and bilateral Pacman flap was performed. Elliptical perianal defect was successfully reconstructed without any complications such as congestion, partial necrosis or infection.

REFERENCES

1.Heymann WR. Extramammary paget's disease. Clin Dermatol. 1993. 11:83–7.
crossref
2.Mohs FE., Blanchard L. Microscopically controlled surgery for extramammary Paget's disease. Arch Dermatol. 1979. 115:706–8.
crossref
3.Karam A., Dorigo O. Treatment outcomes in a large cohort of patients with invasive Extramammary Paget's disease. Gynecol Oncol. 2012. 125:346–51.
crossref
4.Cohen JM., Granter SR., Werchniak AE. Risk stratification in extramammary Paget disease. Clin Exp Dermatol. 2015. 40:473–8.
crossref
5.Chan JY., Li GK., Chung JH., Chow VL. Extramammary paget's disease: 20 years of experience in chinese population. Int J Surg Oncol. 2012. 2012:416418.
crossref
6.Kim BJ., Park SK., Chang H. The Effectiveness of Map-ping biopsy in patients with extramammary Paget's disease. Arch Plast Surg. 2014. 41:753–8.
crossref
7.Mithat Akan I., Sungur N., Ozdemir R., Kilinç H., Sensöz O. “Pac Man” flap for closure of pressure sores. Ann Plast Surg. 2001. 46:421–5.
8.Aoki R., Hyakusoku H. Pacman flap method. Plast Reconstr Surg. 2007. 119:1799–802.
crossref
9.Bonomi S., Salval A., Brenta F., Rapisarda V., Settembrini F. The Pacman perforator-based V-Y advancement flap for reconstruction of pressure sores at different locations. Ann Plast Surg. 2016. 77:324–31.
crossref

Fig.1.
Removed skin lesion.
ahm-23-59f1.tif
Fig.2.
Final defect after wide excision based on intraoperative frozen biopsy.
ahm-23-59f2.tif
Fig.3.
Immediate postoperative image.
ahm-23-59f3.tif
Fig.4.
Four months postoperative image.
ahm-23-59f4.tif
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