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Related Experiment Video

Updated: Jun 27, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Extramammary Paget disease.

Robert Anolik1, Christine Liang, Nadia Wang

  • 1Department of Dermatology, New York University, USA.

Dermatology Online Journal
|December 9, 2008
PubMed
Summary
This summary is machine-generated.

Extramammary Paget disease (EMPD) can present as a penile ulcer unresponsive to standard treatments. Diagnosis requires biopsy, and thorough medical evaluation is crucial due to associated cancers.

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Last Updated: Jun 27, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Area of Science:

  • Dermatology
  • Oncology
  • Urology

Background:

  • Extramammary Paget disease (EMPD) is a rare intraepithelial malignancy.
  • Penile presentation of EMPD is uncommon, often mimicking benign conditions.

Observation:

  • A 59-year-old man presented with a chronic, non-healing penile ulcer.
  • The ulcer was refractory to empirical treatments including topical antimicrobials, antifungals, glucocorticoids, and oral acyclovir.

Findings:

  • Biopsy confirmed intraepidermal neoplasm consistent with extramammary Paget disease (EMPD) via light microscopy and immunohistochemistry.
  • This diagnosis necessitates a comprehensive workup for associated malignancies.

Implications:

  • Patients with EMPD require extensive evaluation, including full-body skin exams, lymph node assessment, colonoscopy, cystoscopy, and sex-specific screenings (pelvic/breast exams for women, prostate exams/PSA for men).
  • Close post-treatment monitoring is essential due to the risk of recurrence and secondary malignancies.