Perianal Paget's Disease Reconstruction with Bilateral Pacman Flap

Jang,  Suk Yoon; Bae,  Tae Hui; Kim,  Woo Seob; Kim,  Han Koo

doi:2018.23.1.59

Arch Hand Microsurg > Volume 23(1); 2018 > Article

Case Report

Archives of Hand and Microsurgery 2018;23(1):59-62.
Published online March 1, 2018.
DOI: https://doi.org/10.12790/ahm.2018.23.1.59

Perianal Paget's Disease Reconstruction with Bilateral Pacman Flap

Suk Yoon Jang, Tae Hui Bae, Woo Seob Kim, Han Koo Kim

Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. psbth@cau.ac.kr

Received: 12 October 2017 • Revised: 29 October 2017 • Accepted: 9 November 2017

Abstract

Extramammary Paget's disease is uncommon slow-growing intraepithelial adenocarcinoma which usually occurs in area of body where apocrine glands are present. A 70-year-old man had a dermatologic evaluation for anal bleeding and underwent a skin biopsy with diagnostic of Paget's disease in perianal region. Wide excision under intraoperative frozen biopsy and reconstruction operation was performed under general anesthesia. Final defect shape was elliptical and bilateral Pacman flap was performed. Elliptical perianal defect was successfully reconstructed without any complications such as congestion, partial necrosis or infection.

Key Words: Perianal Paget’s disease, Extramammary Paget’s disease, Pacman flap