An immunohistochemical study of perianal paget's disease. Possible origins and clinical implications

The histogenesis of perianal Paget's disease is controversial. A clinical and pathologic study was done of a patient with a history of adenocarcinoma of the rectum for whom a subsequent diagnosis of perianal Paget's disease was the sole manifestation of recurrent rectal cancer. Immunohisto...

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Veröffentlicht in:Cancer 1992-04, Vol.69 (8), p.2166-2171
Hauptverfasser: Miller, Larry R., McCunnif, Ann J., Randall, Marcus E.
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creator Miller, Larry R.
McCunnif, Ann J.
Randall, Marcus E.
description The histogenesis of perianal Paget's disease is controversial. A clinical and pathologic study was done of a patient with a history of adenocarcinoma of the rectum for whom a subsequent diagnosis of perianal Paget's disease was the sole manifestation of recurrent rectal cancer. Immunohistochemical techniques were used to compare and contrast the original rectal adenocarcinoma with the subsequent perianal skin recurrence confined to the epidermis. Both the rectal adenocarcinoma and the Paget's cells were positive for cytokeratin, epithelial membrane antigen, B72.3, and carcinoembryonic antigen and negative for gross cystic disease fluid protein‐15, Leu‐M1, CA 125, and S‐100 protein. These findings, their relevance to the histogenesis of perianal Paget's disease, and the possible clinical implications are discussed.
doi_str_mv 10.1002/1097-0142(19920415)69:8<2166::AID-CNCR2820690825>3.0.CO;2-E
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subjects Adenocarcinoma - chemistry
Adenocarcinoma - pathology
Aged
Anus Neoplasms - chemistry
Anus Neoplasms - pathology
Biomarkers
Female
Humans
Immunoenzyme Techniques
Neoplasm Recurrence, Local - chemistry
Neoplasm Recurrence, Local - pathology
Paget Disease, Extramammary - chemistry
Paget Disease, Extramammary - pathology
Perineum
Rectal Neoplasms - chemistry
Rectal Neoplasms - pathology
Skin Neoplasms - chemistry
Skin Neoplasms - pathology
title An immunohistochemical study of perianal paget's disease. Possible origins and clinical implications
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