[Paget's disease of the scrotum]

Paget's disease was diagnosed in a scrotal biopsy specimen of a male aged 70 who for three years had had a red scaly skin lesion of the penoscrotal borderline area. Eight local excisions failed to achieve radical removal of the tumour. Before the 9th excision, the skin was pretreated with fluorouracil cream for 10 days. Ultimately, the lesion could be removed radically. Extramammary Paget's disease is a rare condition. There is no consensus on the strategy to be adopted. Surgical treatment appears indicated.