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Case Reports
. 2020 Jul-Dec;41(2):210-212.
doi: 10.4103/ijstd.IJSTD_69_19. Epub 2020 Nov 11.

An unusual secondary extramammary Paget's disease of vulva

Alvish Noel  1 , Ramesh M Bhat  1 , Sujaya V Rao  2 , Shannon Fernandes  2
Affiliations
Case Reports

An unusual secondary extramammary Paget's disease of vulva

Alvish Noel et al. Indian J Sex Transm Dis AIDS. 2020 Jul-Dec.

Abstract

Extramammary Paget's disease (EMPD) of the vulva is a rare disease that occurs mainly in postmenopausal women. It can be primary or secondary. Prognosis of primary EMPD is good, but when secondary, we need to find the underlying malignancy as the prognosis depends on it. Very few cases of secondary EMPD of the vulva have been reported till now. We hereby report a case of a 65-year-old postmenopausal woman with EMPD secondary to invasive adenocarcinoma with neuroendocrine features in the dermis and she was treated surgically followed by radiotherapy.

Keywords: Extramammary Paget's disease; genital malignancy; vulval carcinoma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Clinical photograph showing erythematous plaque measuring about 6 cm × 10 cm seen over the left labia majora extending posteriorly to perianal area
Figure 2
Figure 2
Clinical photograph closer view showing lesion surface with gray crusting and nodulation with serosanguinous discharge
Figure 3
Figure 3
Biopsy section showing full-thickness dysplasia of epidermis with Paget's cell in the epidermis (H and E, ×40)
Figure 4
Figure 4
Biopsy section showing Paget's cells which are polygonal-to-oval cells with ground-glass cytoplasm, pleomorphic vesicular nucleus, and prominent nucleoli in the epidermis (H and E, ×100)
See this image and copyright information in PMC

References

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