Extramammary Paget's disease of the penis and scrotum.
A 64-year-old Chinese man presented to the Bellevue Hospital Center Department of Dermatology with a 2-year history of an enlarging mass in his suprapubic region, which measured 7 cm x 9 cm and involved the penis and scrotum. A biopsy specimen showed extramammary Paget's disease. Twenty years earlier, while living in China in 1983, this patient had a suprapubic skin cancer which was excised, and he received radiation to the region. Extramammary Paget's disease is a rare cutaneous adenocarcinoma of epidermal origin, which is frequently associated with adnexal carcinoma and internal malignant conditions. Clinically, extramammary Paget's disease is characterized by a red, moist, eroded plaque in the anogenital region. Extramammary Paget's disease usually behaves as a slow-growing intraepithelial adenocarcinoma; however, it may become invasive and may metastasize through dermal lymphatics. The treatment of choice is wide excision.
Henning
J Scott
JS
Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, NY, USA. jshenn@yahoo.com
D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged; D010145:Paget Disease, Extramammary / Q000473:pathology* / Q000532:radiotherapy; D010412:Penile Neoplasms / Q000473:pathology* / Q000532:radiotherapy; D012611:Scrotum; D012878:Skin Neoplasms / Q000473:pathology* / Q000532:radiotherapy