tiket kereta toko bagus berita bola terkini anton nb Aneka Kreasi Resep Masakan Indonesia resep masakan menghilangkan jerawat villa di puncak recepten berita selebritis terkini game online hp dijual windows gadget jual console voucher online

Treatment of vulvar Paget disease with topical imiquimod: a case report and review of the literature

Laurence Feldmeyer, Katrin Kerl, Jivko Kamarashev, Pierre de Viragh, Lars E French

Abstract


Background: Extramammary Paget's disease is a cutaneous neoplasm that presents as erythematous crusted patches and plaques reminiscent of contact dermatitis or inverse psoriasis that can be a challenge to treat in a tissue-sparing manner. The most commonly involved site for this rare disorder is the anogenital region. Surgery is considered as the gold standard therapy. In the last years, the topical use of imiquimod cream in the treatment of this condition has been reported.

Main observations: We present a case of a 59-year-old woman with primary extramammary Paget’s disease of the vulva, in which a conservative approach to therapy was desired, and who underwent complete and stable remission with imiquimod cream. We also review the previous reports of patients with extramammary Paget's disease treated with imiquimod cream.

Conclusions: Imiquimod therapy may be an alternative for primary as well as recurring extramammary Paget's disease. Treatment-associated morbidity is minimal compared with other therapies, such as surgery which may be debilitating. (J Dermatol Case Rep. 2011; 5(3): 42-46)

Keywords


imiquimod; intraepithelial adenocarcinoma; Paget’s disease; therapy; topical; vulva

Full Text: Full Text HTML Full Text PDF

2007-2018 © Specjalisci Dermatolodzy

The JDCR content may not be distributed, used, adapted, reproduced, translated or copied for any commercial purpose in any form without prior permission of the publisher. Any use of this Journal in whole or in part, must include the customary bibliographic citation and its URL.