Minimally invasive Paget's disease of the vulva with extensive lymph node metastases.
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.
Fine
B A
BA
Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio 78284-7836, USA.
Fowler
L J
LJ
Valente
P T
PT
Gaudet
T
T
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*