Successful treatment of extramammary Paget's disease of the scrotum with imiquimod 5% cream

被引:42
作者
Berman, B [1 ]
Spencer, J
Villa, A
Poochareon, V
Elgart, G
机构
[1] Univ Miami, Miami, FL 33152 USA
[2] Mt Sinai Med Ctr, New York, NY 10029 USA
关键词
D O I
10.1046/j.1365-2230.28.s1.12.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Extramammary Paget's disease (EMPD) of the skin is an uncommon malignancy involving the epidermis, which sometimes extends into the dermis. Current treatments for EMPD are surgical excision, Mobs' micrographic surgery or laser ablation. We report a case of a 68-year-old male who presented with recurrent EMPD. The patient refused to have surgery and, as an alternative, he applied imiquimod 5% cream, an immune response modifier, daily for a total of 6 weeks. During the initial weeks of therapy, he experienced moderate erythema. Imiquimod treatment resulted in clinical and histological eradication of EMPD, with no recurrence observed during 6 months of follow-up.
引用
收藏
页码:36 / 38
页数:3
相关论文
共 13 条
[1]  
COLDIRON BM, 1991, CANCER, V67, P933, DOI 10.1002/1097-0142(19910215)67:4<933::AID-CNCR2820670413>3.0.CO
[2]  
2-3
[3]  
Dahl MV, 2000, J AM ACAD DERMATOL, V43, pS1, DOI 10.1067/mjd.2000.107809
[4]   Self-administered topical 5% imiquimod cream for external anogenital warts [J].
Edwards, L ;
Ferenczy, A ;
Eron, L ;
Baker, D ;
Owens, ML ;
Fox, TL ;
Hougham, AJ ;
Schmitt, KA .
ARCHIVES OF DERMATOLOGY, 1998, 134 (01) :25-30
[5]   Imiquimod 5% cream is a safe and effective self-applied treatment for anogenital warts - results of an open-label, multicentre Phase IIIB trial [J].
Garland, SM ;
Sellors, JW ;
Wikstrom, A ;
Petersen, CS ;
Aranda, C ;
Aractingi, S ;
Maw, RD .
INTERNATIONAL JOURNAL OF STD & AIDS, 2001, 12 (11) :722-729
[6]   Safety and efficacy of imiquimod 5% cream in the treatment of penile genital warts in uncircumcised men when applied three times weekly or once per day [J].
Gollnick, H ;
Barasso, R ;
Jappe, U ;
Ward, K ;
Eul, A ;
Carey-Yard, M ;
Milde, K .
INTERNATIONAL JOURNAL OF STD & AIDS, 2001, 12 (01) :22-28
[7]   Mammary and extramammary Paget's disease [J].
Lloyd, J ;
Flanagan, AM .
JOURNAL OF CLINICAL PATHOLOGY, 2000, 53 (10) :742-749
[8]   Imiquimod 5% cream in the treatment of Bowen's disease [J].
Mackenzie-Wood, A ;
Kossard, S ;
de Launey, J ;
Wilkinson, B ;
Owens, ML .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2001, 44 (03) :462-470
[9]   Imiquimod 5% cream in the treatment of superficial basal cell carcinoma: Results of a multicenter 6-week dose-response trial [J].
Marks, R ;
Gebauer, K ;
Shumack, S ;
Amies, M ;
Bryden, J ;
Fox, TL ;
Owens, ML .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2001, 44 (05) :807-813
[10]  
Mehta NJ, 2000, SOUTHERN MED J, V93, P713