Ann Coloproctol.  2014 Oct;30(5):241-244. 10.3393/ac.2014.30.5.241.

Perianal Paget's Disease

• Kim CW
• Kim YH
• Cho MS
• Min BS
• Baik SH
• Kim NK

• KMID: 2263870
• DOI: http://doi.org/10.3393/ac.2014.30.5.241

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.

Keyword

Extramammary Paget's disease; Perianal Paget's disease

MeSH Terms

Aged, 80 and over
Arteries
Biopsy
Humans
Incidence
Paget Disease, Extramammary
Perforator Flap
Skin