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A Journal on Dermatology
Esperienze Dermatologiche 2009 December;11(4):171-4
language: English, Italian
A suggestive case of perianal extramammary Paget’s disease
Spataro A., Melis L., Perilli C., Poleva I., Pala S.
Policlinico Umberto I, Università “La Sapienza”, Roma, Italia
Perianal extramammary Paget’s disease (EMPD) is a rare disorder of unknown etiology and is frequently associated with malignancy. It is an uncommon intraepithelial adenocarcinoma primary affecting apocrine gland-bearing skin. The disease starts insidiously; lesions develop to well demarcated plaques, variable in diameter, red or brown coloured, with variable surface, usually peppered. EMPD may coexist with underlying adenocarcinoma, so a correct procedure needs search for tumours. The authors relate a case of perianal EMPD for its rarity and complex and multidisciplinary management.