Primary vulvar Paget disease - the importance of clinical suspicion

Mota, F.; Horta, M.; Marques, C.; Foreid, S.; Selores, M.

http://hdl.handle.net/10400.16/2215

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Abstract(s)

Extramammary Paget disease of the vulva is a rare condition that accounts for only 1-2% of vulvar malignancies and represents a frequent cause of misdiagnosis. It is most commonly seen in postmenopausal women. Clinically it is similar to Paget disease of the breast, appearing as red, well-demarcated eczematoid lesions, with slightly raised edges. A high degree of clinical suspicion is very important when evaluating these lesions in order to avoid misdiagnosis and delay of effective treatment. We present a case of vulvar Paget disease treated with vulvectomy.