Perianal Paget's Disease Reconstruction with Bilateral Pacman Flap

Suk Yoon Jang; Tae Hui Bae; Woo Seob Kim; Han Koo Kim

doi:10.12790/ahm.2018.23.1.59

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

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

Case Report

Arch Hand Microsurg 2018;23(1):59-62.

Published online: 5 January 2018

DOI: https://doi.org/10.12790/ahm.2018.23.1.59

Perianal Paget's Disease Reconstruction with Bilateral Pacman Flap

Suk Yoon Jang, Tae Hui Bae, Woo Seob Kim, Han Koo Kim

Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea

Corresponding author: Tae Hui Bae Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, 102 Heuksuk-ro, Dongjak-gu, Seoul 06973, Korea TEL: +82-2-6299-1630, FAX: +82-2-823-1049, E-mail: psbth@cau.ac.kr, ORCID: http://orcid.org/0000-0002-0342-1439

Received 12 October 201729 October 2017 Accepted 9 November 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Perianal Paget’s disease, Extramammary Paget’s disease, Pacman flap

REFERENCES

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Fig.1.

Removed skin lesion.

Fig.2.

Final defect after wide excision based on intraoperative frozen biopsy.

Fig.3.

Immediate postoperative image.

Fig.4.

Four months postoperative image.

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