Perianal Paget's Disease.

Author: Chang Woo KIM ¹ ; Yon Hee KIM ; Min Soo CHO ; Byung Soh MIN ; Seung Hyuk BAIK ; Nam Kyu KIM
Author Information

1. Division of Colon and Rectal Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. whitenoja@yuhs.ac
Publication Type:Case Report
Keywords: Extramammary Paget's disease; Perianal Paget's disease
MeSH: Aged, 80 and over; Arteries; Biopsy; Humans; Incidence; Paget Disease, Extramammary; Perforator Flap; Skin
From:Annals of Coloproctology 2014;30(5):241-244
CountryRepublic of Korea
Language:English
Abstract: The incidence of extramammary Paget's disease (EMPD) is very low. An 84-year-old Korean man was treated with topical and oral medications at a local dermatologic clinic for a year, but the symptoms did not improve. He visited Severance Hospital and underwent a perianal skin biopsy and was finally diagnosed with EMPD. The authors performed a wide local excision according to a 1-cm margin around the lesion. For the skin and the soft tissue defects, bilateral inferior gluteal artery perforator flap transpositions were performed. The size of the lesion was 14 cm2 x 9 cm2, and the lateral and the basal margins were all disease free.