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Extramammary Paget's disease presenting on the face
Mark A Cohen1, Andrew Hanly, Evangelos Poulos
1Dermatology and Skin Cancer Center, Leawood, Kansas 66211, USA. cohenmagic@aol.com
Summary
Ectopic extramammary Paget's disease, a rare facial neoplasm, was successfully treated using Mohs micrographic surgery. This case highlights the efficacy of this surgical technique for rare skin conditions.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Extramammary Paget's disease (EMPD) is a rare neoplasm originating in apocrine gland-bearing skin.
- Ectopic EMPD presents in non-apocrine skin areas, with facial occurrence being exceptionally rare.
Observation:
- This report details the second known case of ectopic extramammary Paget's disease presenting on the face.
- The patient's facial lesion was treated using Mohs micrographic surgery over three stages.
Findings:
- The surgical intervention resulted in no evidence of recurrence at the 5-month follow-up.
- Mohs micrographic surgery demonstrated effectiveness in treating this rare facial neoplasm.
Implications:
- This case underscores the potential of Mohs micrographic surgery for managing rare ectopic extramammary Paget's disease presentations.
- Effective surgical management is crucial for favorable outcomes in ectopic EMPD, even in unusual locations like the face.