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Perianal Paget¡¯s Disease

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±èâ¿ì ( Kim Chang-Woo ) 
Yonsei University College of Medicine Severance Hospital Department of Surgery

±è¿¬Èñ ( Kim Yon-Hee ) 
Yonsei University College of Medicine Severance Hospital Department of Pathology
Á¶¹Î¼ö ( Cho Min-Soo ) 
Yonsei University College of Medicine Severance Hospital Department of Surgery
¹Îº´¼Ò ( Min Byung-Soh ) 
Yonsei University College of Medicine Severance Hospital Department of Surgery
¹é½ÂÇõ ( Baik Seung-Hyuk ) 
Yonsei University College of Medicine Severance Hospital Department of Surgery
±è³²±Ô ( Kim Nam-Kyu ) 
Yonsei University College of Medicine Severance Hospital Department of Surgery

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 ¡¿ 9 cm2, and the lateral and the basal margins were all disease free.

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Extramammary Paget¡¯s disease; Perianal Paget¡¯s disease

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