V-Y flap advancement in perianal Paget’s disease: a case report and literature review

Perianal Paget’s disease (PPD) is a rare malignant disorder predominantly affecting the elderly. It typically presents non-specific symptoms such as pruritus, papules, ulcers, erythema, or leukoplakia in the perianal region. Due to its subtle and non-specific clinical manifestations, misdiagnosis is...

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Bibliographic Details
Main Authors: Ma Lanting, Wang Rui, Han Wenhua, Zhou Qian, Peng Hui, Ren Donglin, Zhang Di
Format: Article
Language:zho
Published: Editorial Office of Journal of Colorectal & Anal Surgery 2025-02-01
Series:结直肠肛门外科
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Online Access:https://jzcgmwk.cbpt.cnki.net/WKD/WebPublication/paperDigest.aspx?paperID=e31e6ea2-6e64-45df-bce1-926e843cad3e
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Summary:Perianal Paget’s disease (PPD) is a rare malignant disorder predominantly affecting the elderly. It typically presents non-specific symptoms such as pruritus, papules, ulcers, erythema, or leukoplakia in the perianal region. Due to its subtle and non-specific clinical manifestations, misdiagnosis is common, leading to delays in the optimal treatment window. Pathological examination combined with immunohistochemical markers remains the gold standard for definitive diagnosis. This study reports a case of perianal Paget’s disease treated with V-Y flap advancement and reviews the relevant literature to enhance clinicians’ awareness of this condition, thereby reducing diagnostic errors and missed cases.
ISSN:1674-0491