Excision combined with photodynamic therapy for scrotal Paget's disease in patients aged over 60 years. (4th December 2020)

• Record Type: Journal Article
• Authors: Chen, Mingquan; Chen, Xiong; Dai, Yuanqing; Yang, Zhiming; Zhang, Xiaobo; Li, Dongjie
• Is Part Of: Aging male. Volume 23:Number 5(2020)
• Page Start: 854
• Page End: 859
• Publication Date: 2020-12-04
• Subjects: Scrotal Paget's disease -- wide local excision -- photodynamic therapy -- patients of advanced age -- recurrence rate; Aging -- Periodicals; Men -- Periodicals; Gerontology -- Periodicals; Men -- Health and hygiene -- Periodicals; Aging -- periodicals; Geriatric -- periodicals; Men -- periodicals; Aged -- periodicals; Aged, 80 and over -- periodicals; 612.67
• DOI: 10.1080/13685538.2019.1607284
• Languages: English
• ISSNs: 1368-5538

Abstract

Abstract: Objective: To investigate the safety and efficacy of wide local excision combined with aminolevulinic acid (ALA) photodynamic therapy (PDT) for the treatment of scrotal Paget's disease in patients of advanced age. Methods: Data were collected for 16 patients (mean age, 68.44 years) with scrotal Paget's disease treated with wide local excision combined with ALA PDT and followed up from June 2014 to February 2018. Pathological examination after wide local excision confirmed Paget's disease. The patients underwent three courses of ALA PDT postoperatively and were followed up to determine the curative effect and complications in the short and middle term. Results: The disease duration ranged from 4 to 76 months (mean, 36 months). Ten patients underwent simple excision, six underwent skin flap transfer, and two required reoperations due to skin flap necrosis and infection. The patients were followed up for 3 to 42 months after ALA PDT, during which time two patients developed metastasis (recurrence rate, 12.50%). No other serious complications occurred during follow-up except for lower limb movement disorder in one patient (6.25%). Conclusions: Wide local excision combined with ALA PDT shows good clinical efficacy and a low complication rate in patients of advanced age with scrotal Paget's disease.