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Extra Mammary Paget's Disease: A Rare Case Report
Vidyadhar R Sardesai1, Trupti D Agarwal1, Sarita P Sakhalkar1
1Department of Dermatology, STD and Leprosy, Bharati Vidyapeeth Medical College, Pune, India.
Indian Journal of Dermatology
|February 7, 2015
Summary
Extramammary Paget
Area of Science:
- Dermatology
- Oncology
Background:
- Extramammary Paget's disease (EMPD) presents as a pruritic plaque, commonly on the vulva.
- Resistant to conventional treatments, EMPD requires accurate diagnosis and management.
Purpose of the Study:
- To report a case of extramammary Paget's disease on the perineal skin.
- To highlight diagnostic and therapeutic considerations for EMPD.
Main Methods:
- A 62-year-old woman presented with a 3-year history of a pruritic perineal plaque.
- Diagnostic workup included physical examination and biopsy.
- Treatment involved surgical excision.
Main Results:
- The plaque was hypertrophic, verrucous, and erosive.
- Biopsy confirmed Paget's cells positive for PAS and alcian blue stains.
- No evidence of visceral malignancy was found.
Conclusions:
- Surgical excision is a viable treatment for EMPD, especially considering its premalignant potential.
- Prompt diagnosis and appropriate management are crucial for effective EMPD treatment.