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例1 男,56岁。1979年8月以左侧阴囊瘙痒、渗液、糜烂6年入院。6年前在阴囊左侧发现一玉米粒状皮疹,瘙痒并逐渐扩大,2年后瘙痒加剧,搔抓破溃渗出血性液,反复不愈。体检:左侧阴囊及阴茎根部有5.5×4.0cm稍隆起皮损区,呈红色,境界清楚,表面粗糙,有散在性糜烂和小溃疡,潮湿。双侧腹股沟淋巴结不肿大。血尿常规、肝功能及心肺正常。在硬膜外麻醉下距病灶边缘2 cm处切除病变,包括皮肤及浅筋膜。睾丸、阴茎海绵体未见侵犯。术后恢复顺利,病理诊断:阴囊Paget氏病。
Example 1 male, 56 years old. 1979 August left scrotum itching, exudate, erosion 6 years admitted. 6 years ago in the left side of the scrotum found a granular corn rash, itching and gradually expanded, 2 years after itching aggravated, scratching ulceration exudate bloody fluid, repeated unhealed. Physical examination: the left scrotum and penis have 5.5 × 4.0cm slightly elevated bulge lesions, red, clear, rough surface, scattered erosion and small ulcers, damp. Bilateral inguinal lymph nodes did not enlarge. Hematuria, liver function and normal heart and lung. Lesions were excised at 2 cm from the edge of the lesion under epidural anesthesia, including the skin and superficial fascia. Testicular, penis cavernous invading. Postoperative recovery was successful, pathological diagnosis: Paget’s disease of the scrotum.