Table 1. Summaries of six patients with perianal or vulva EMPD.
Clinicopathological factor | Patient number | |||||
---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | |
Clinical findings | ||||||
Tumor location | Perianal | Perianal | Vulva | Perianal | Vulva | Vulva |
Sex | Male | Female | Female | Male | Male | Male |
Age at diagnosis (yr) | 74 | 69 | 81 | 78 | 75 | 74 |
Chief complaint | Eczema | Eczema | Eczema and itching | Eczema | Eczema | Eczema and itching |
Duration of symptom (mo) | 72 | 36 | 30 | 2 | 84 | 120 |
Mapping biopsy of the anal canal | ||||||
Number of biopsies | 12 | 12 | 21 | Not performed | 16 | 12 |
Biopsy-positive site | DL | 0.5-cm above DL | Anal verge | - | Anal verge | Anal verge |
Surgical findings | ||||||
Surgical procedure | WLE | WLE | WLE | WLE+APR | WLE | WLE |
Reconstruction method | STSG | STSG | STSG | STSG | STSG | STSG |
Lymph node dissection | No | No | Yes | No | Yes | No |
Covering colostomy | Yes | Yes | No | - | No | No |
Pathological findings | ||||||
Resection margin | Negative | Negative | Negative | Positive | Negative | Negative |
Histological stage | Intraepithelial | Intraepithelial | Invasive | Intraepithelial | Invasive | Intraepithelial |
Lymph node metastasis | No | No | Yes | No | Yes | No |
Outcomes | ||||||
Graft infection | Yes | No | Yes | No | Yes | No |
Postoperative hospital stay (d) | 86 | 51 | 72 | 24 | 82 | 22 |
Tumor recurrence | No | No | Yes | No | Yes | No |
Prognosis | Alive | Alive | Died | Alive | Alive | Alive |
Disease free survival (mo) | 37.2 | 112 | 2.9 | 50.2 | 13.1 | 5.8 |
Overall survival (mo) | 37.2 | 112 | 12.8 | 50.2 | 37.4 | 5.8 |
EMPD: extramammary Paget disease, DL: dentate line, WLE: wide local excision, APR: abdominoperineal resection, STSG: split thickness skin graft.