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Case Reports
. 2020 Nov 18:7:71-73.
doi: 10.1016/j.jdcr.2020.11.002. eCollection 2021 Jan.

Modified peripheral and central Mohs micrographic surgery for improved margin control in extramammary Paget disease

Michael S Chang  1 , Patrick M Mulvaney  1 , Melissa J Danesh  1 , Colleen M Feltmate  2 , Chrysalyne D Schmults  1
Affiliations
Case Reports

Modified peripheral and central Mohs micrographic surgery for improved margin control in extramammary Paget disease

Michael S Chang et al. JAAD Case Rep. .
No abstract available

Keywords: EMPD, extramammary Paget disease; MMS, Mohs micrographic surgery; Mohs micrographic surgery; WLE, wide local excision; dual margin approach; extramammary Paget disease; gynecologic oncology; peripheral and central margins; vulvar cancer.

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Figures

Fig 1
Fig 1
EMPD with dual internal and external peripheral margins via MMS. A, Preoperative photograph of EMPD involving the middle portion of the perineum and bilateral vulva, with clinically apparent tumor margins outlined in blue ink. B, Mohs stage-1 resection included both peripheral labial and inner mucosal margins lateral to the urethra and vulva. C, Mohs stage-1 map demonstrating positive peripheral margins (anterior and superior, outlined in red) and clear inner mucosal margins (J, K mucosal tissues, representing excised tumor margins circumferential to the urethral and vaginal orifices, are not shown, being processed). D, Final sutured defect for subsequent resection performed by the gynecologic oncologist. EMPD, Extramammary Paget disease; MMS, Mohs micrographic surgery.
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References

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