病例報告：陰囊之乳房外柏哲德氏病

劉佳旻、蔡育賢

國立成功大學醫學院附設醫院泌尿部

Case report: Extramammary Paget’s disease of the scrotum

Chia-Min Liu, Yuh-Shyan Tsai
National Cheng Kung University Hospital

A 79-year-old male presented to the urology clinic with progressive tenderness of right scrotal skin for six months. Physical examination showed erythematous crusted plaques with white scaly margin over right hemi-scrotum. Topical steroid and antibiotics were initially prescribed but in vain. Skin biopsy was performed and pathology revealed large, pale, vacuolated atypical cells in the epidermis, suggesting Paget’s disease. Abdominal CT showed no evidence of underlying malignancy nor lymph node metastasis. Right scrotal wall excision was performed with safe margin confirmed by intraoperative frozen section. Final pathology report confirmed extramammary Paget’s disease. The patient was under follow-up for five years by now without recurrence.