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Multiple concurrent primary extramammary Paget's disease.

M Leelavathi1, M N Norazirah2, A P Nur Amirah3

  • 1MMed (Fam Med) Department of Family Medicine, Faculty of Medicine, 14 th Floor, Pre-clinical Block, Universiti Kebangsaan Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.

Malaysian Family Physician : the Official Journal of the Academy of Family Physicians of Malaysia
|May 3, 2017
PubMed
Summary

Extramammary Paget's disease (EMPD), a rare skin cancer, can present as chronic itching. This case highlights a rare instance of multiple primary EMPD in an elderly man initially misdiagnosed.

Keywords:
AxillaPaget's diseaseextramammaryscrotumvulva

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Area of Science:

  • Dermatology
  • Oncology
  • Pathology

Background:

  • Extramammary Paget's disease (EMPD) is a rare malignant skin condition.
  • It typically presents as a solitary lesion in areas with apocrine sweat glands.

Observation:

  • An elderly male presented with persistent genital pruritus lasting 8 months.
  • Initial management focused on presumed fungal infections and eczema.

Findings:

  • Histopathology confirmed a rare diagnosis of multiple primary Extramammary Paget's disease.
  • The patient received appropriate treatment following the diagnosis.

Implications:

  • This case underscores the importance of considering rare diagnoses like EMPD in chronic, non-resolving skin conditions.
  • Highlights diagnostic challenges and the need for accurate histopathological evaluation for effective treatment of EMPD.