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전이성 유방외 파제트병에서 나타난 골수괴사와 연관된 혈전성 혈소판감소성 자반증
손종민(Jong Min Sohn),이재련(Jae Lyun Lee),김범준(Bum Jun Kim),송경미(Kyung Mee Song),조영욱(Young-Uk Cho),김은나(Eun Na Kim),홍준혁(Jun Hyuck Hong) 대한비뇨기종양학회 2016 대한비뇨기종양학회지 Vol.14 No.2
As extra-mammary Paget’s disease is rare and usually diagnosed at early stage when it is highly curable with surgical resection, it is much rarer to see patients with recurrent metastatic disease. Thrombotic thrombocytopenic purpura in patients with metastatic solid cancer is also a rare disease and may result from bone marrow metastasis or bone marrow necrosis. For the latter, the majority of cases are not eligible for systemic chemotherapy for rapid disease progression and poor performance status. Herein, authors report a patient with thrombotic thrombocytopenic purpura associated with bone marrow necrosis complicating extra-mammary Paget"s disease who was successfully treated with docetaxel and carboplatin combination chemotherapy.