title: Two cases of unilateral axillary Paget's disease.
abstract: We herein report two cases of unilateral axillary Paget's disease. Extramammary Paget's disease commonly occurs in the anogenital area. Unilateral axillary occurrence is relatively rare. One defect was reconstructed with a pedicled scapular flap, and the other was reconstructed with split-skin graft after excision of the tumor. No recurrence was seen in either patient three years postoperatively. However, although the patient who had been reconstructed with a pedicled flap recovered uneventfully, the other patient, who had been reconstructed with a split-skin graft, suffered from axillary contracture due to the shrinkage of the grafted skin after surgery. A skin graft requires fixation for a long period to prevent shrinkage, which causes axillary contracture. Therefore, from the viewpoint of quality of life, reconstruction using flaps is recommended for axillary lesions.
authors.affiliation: Department of Dermatology, Nara Medical University, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Ohno
authors.forename: M
authors.initials: M
authors.lastname: Hatoko
authors.forename: M
authors.initials: M
authors.lastname: Kuwahara
authors.forename: Y
authors.initials: Y
authors.lastname: Ohnuma
authors.forename: T
authors.initials: T
authors.lastname: Iida
authors.forename: T
authors.initials: T
authors.lastname: Muramatsu
authors.forename: T
authors.initials: T
authors.lastname: Shirai
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001365:Axilla; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D010145:Paget Disease, Extramammary / Q000175:diagnosis / Q000601:surgery*; D012878:Skin Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013524:Surgical Flaps