• Medicina · Sep 2021

    Case Reports

    Extramammary Paget's Disease of the Vulva: Report of Two Cases.

    • Christoforos S Kosmidis, Christina Sevva, Panagiota Roulia, Charilaos Koulouris, Nikolaos Varsamis, Georgios Koimtzis, Vasiliki Theodorou, Chrysi Maria Mystakidou, Eleni Georgakoudi, and Georgios Anthimidis.
    • European Interbalkan Medical Center, 10 Asklipiou Street, 55535 Pylaia, Greece.
    • Medicina (Kaunas). 2021 Sep 27; 57 (10).

    AbstractExtramammary Paget's disease is a rare condition, affecting 6.5% of all patients with Paget's disease. The most common extramammary site is the vulvar area. Although diagnosis in some patients is difficult to set, early diagnosis is of high importance in order to detect the irreversible progression of the lesion early and prevent distant metastasis. An 89-year-old female and a 69-year-old female presented within three months with an eczematous lesion with leukoplakia in the vulva. The incisional biopsy of the skin revealed extramammary Paget's disease. Both patients underwent a surgical wide local excision of the lesion and the specimens were sent for histopathological examination. Extramammary Paget's disease has a high potential for distant malignancies and local recurrence, dictating that surgical excision is the most efficient treatment. The rareness of the condition and the diagnostic difficulties underline the need for early skin biopsy, which is the most efficient diagnostic tool.

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