Annals of Coloproctology  2014;30(5):241-244

doi:10.3393/ac.2014.30.5.241

Perianal Paget's Disease.

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

Affiliations

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Keywords

Extramammary Paget's disease; Perianal Paget's disease

Country

Republic 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.