Bone Marrow Recurrence with Microscopic Pulmonary Tumor Embolism after Excision of Extramammary Paget's Disease in Scrotum Three Years Ago.
- Author:
Seongcheol CHO
1
;
Jin Won KIM
;
Jeonghwan YOUK
;
Sang Mee HWANG
;
Hyo Jin PARK
;
Choon Taek LEE
Author Information
1. Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. jwkim@snubh.org
- Publication Type:Case Report
- Keywords:
Extramammary Paget's disease;
Pulmonary hypertension;
Pulmonary embolism;
Neoplastic cells, circulating;
Scrotum
- MeSH:
Aged;
Biopsy;
Bone Marrow*;
Drug Therapy;
Humans;
Hypertension, Pulmonary;
Intensive Care Units;
Liver;
Liver Failure;
Male;
Neoplastic Cells, Circulating*;
Oxygen;
Paget Disease, Extramammary*;
Patients' Rooms;
Platelet Count;
Pulmonary Embolism;
Recurrence*;
Scrotum*
- From:Soonchunhyang Medical Science
2015;21(2):192-196
- CountryRepublic of Korea
- Language:English
-
Abstract:
Here we report a case of a 72-year-old male patient recurred in bone marrow alone with pulmonary tumor embolism after an excision of extramammary Paget's disease of scrotum 3 years ago. The patient received paclitaxel/carboplatin chemotherapy with respiratory support in intensive care unit. Four days after chemotherapy, the oxygen demand decreased and the patient was transferred to general ward. The platelet count recovered after 2 weeks. Finally, he died of hepatic failure from Paget's disease hepatic involvement confirmed by liver biopsy at 10 months after recurrence. This is a rare case of recurred extramammary Paget's disease in bone marrow alone with pulmonary tumor embolism, which was properly diagnosed with high suspicion and was successfully treated with immediate chemotherapy.
