title: Minimally invasive Paget's disease of the vulva with extensive lymph node metastases.
abstract: Optimal treatment for intraepithelial and invasive Paget's disease of the vulva has been previously evaluated. The treatment of disease with minimal invasion (< or = 1 mm) represents an even greater dilemma. We report a case of Paget's disease of the vulva with 1-mm depth of invasion presenting with extensive inguinofemoral lymph node metastases documented by fine-needle aspiration biopsy.
authors.affiliation: Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio 78284-7836, USA.
authors.forename: B A
authors.initials: BA
authors.lastname: Fine
authors.forename: L J
authors.initials: LJ
authors.lastname: Fowler
authors.forename: P T
authors.initials: PT
authors.lastname: Valente
authors.forename: T
authors.initials: T
authors.lastname: Gaudet
mesh_terms: D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010145:Paget Disease, Extramammary / Q000473:pathology / Q000556:secondary*; D014846:Vulvar Neoplasms / Q000473:pathology*