Annals of Surgical Oncology Sign the Guestbook
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
10.1245/s10434-006-9003-2
Annals of Surgical Oncology 13:1235-1240 (2006)
© 2006 Society of Surgical Oncology
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Dionyssopoulos, A.
Right arrow Articles by Dionyssopoulou, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Dionyssopoulos, A.
Right arrow Articles by Dionyssopoulou, E.

Original Article

Extramammary Paget’s Disease: Isolated Localization on the Groin—Wide Local Excision With Immediate Reconstruction

Alexander Dionyssopoulos, MD, PhD1,2, Ioanna Mandekou-Lefaki, MD, PhD3, Efstratios Vakirlis, MD1, Ioannis Manoliadis, MD, PhD4, Andreas Nikolis, MD, MSc5 and Eleni Dionyssopoulou, MD6

1 Division of Skin Oncologic Surgery–Plastic Surgery, First Department of Dermatology, Aristotle University of Thessaloniki, Thessaloniki, Greece
2 Department of Plastic Surgery, St.-Luc Hospital, Thessaloniki, Greece
3 Division of Cutaneous Pathology and Oncology, State Clinic, Hospital for Skin and Venereal Diseases, Thessaloniki, Greece
4 Department of Urology, Interbalkan Hospital, Thessaloniki, Greece
5 Division of Plastic Surgery, Notre Dame Hospital, University of Montreal Health Center, Qué bec, PQ, Canada
6 Department of Pathology, Division of Cytology, AHEPA Hospital, Thessaloniki, Greece

Correspondence: Address correspondence and reprint requests to: Alexander Dionyssopoulos, MD, PhD; Division of Skin Oncologic Surgery–Plastic Surgery, First Department of Dermatology, Aristotle University of Thessaloniki, 25, Karolou Diehl Street, 54623, Thessaloniki, Greece; E-mail: alexdion{at}med.auth.gr

Background: Extramammary Paget’s disease is a rare cutaneous malignancy, which occurring frequently in the elderly and affecting primarily the genital, perianal, and axillary regions. Unfortunately, surgical and ablative treatment modalities for extramammary Paget’s disease have a high recurrence rate and are often associated with significant morbidity.

Methods: We present a case of a 51-year-old Caucasian man with Paget’s disease of the right groin. The isolated localization of Paget’s disease in the groin is extremely rare. Wide local excision of the tumor is currently the standard of care treatment. All publications found in the literature reporting this rare entity were reviewed for the purpose of further delineating a treatment regimen for this rare pathology.

Results: Six years after surgery, the patient remains disease free with a very acceptable aesthetic result. Currently, only 11 cases of Paget’s disease have been reported with an isolated localization to the groin.

Conclusions: Paget’s disease of the groin has an extremely low incidence. Various treatments are described in the literature, early wide local excision may be the treatment of choice.

Key Words: Extramammary Paget’s disease • Groin • Wide local excision • Reconstruction • Rotation L-shaped cutaneous flap for lozenge gap • Dufourmentel’s LLL flap






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2006 by the Society of Surgical Oncology.