title: Extramammary Paget's disease: isolated localization on the groin--wide local excision with immediate reconstruction.
abstract: BACKGROUND
  Extramammary Paget's disease is a rare cutaneous malignancy, which occurring frequently in the elderly and affecting primarily the genital, perianal, and axillary regions. Unfortunately, surgical and ablative treatment modalities for extramammary Paget's disease have a high recurrence rate and are often associated with significant morbidity.
  
  
  METHODS
  We present a case of a 51-year-old Caucasian man with Paget's disease of the right groin. The isolated localization of Paget's disease in the groin is extremely rare. Wide local excision of the tumor is currently the standard of care treatment. All publications found in the literature reporting this rare entity were reviewed for the purpose of further delineating a treatment regimen for this rare pathology.
  
  
  RESULTS
  Six years after surgery, the patient remains disease free with a very acceptable aesthetic result. Currently, only 11 cases of Paget's disease have been reported with an isolated localization to the groin.
  
  
  CONCLUSIONS
  Paget's disease of the groin has an extremely low incidence. Various treatments are described in the literature, early wide local excision may be the treatment of choice.
authors.affiliation: Division of Skin Oncologic Surgery-Plastic Surgery, First Department of Dermatology, Aristotle University of Thessaloniki, Thessaloniki, Greece. alexdion@med.auth.gr
authors.forename: Alexander
authors.initials: A
authors.lastname: Dionyssopoulos
authors.forename: Ioanna
authors.initials: I
authors.lastname: Mandekou-Lefaki
authors.forename: Efstratios
authors.initials: E
authors.lastname: Vakirlis
authors.forename: Ioannis
authors.initials: I
authors.lastname: Manoliadis
authors.forename: Andreas
authors.initials: A
authors.lastname: Nikolis
authors.forename: Eleni
authors.initials: E
authors.lastname: Dionyssopoulou
mesh_terms: D006119:Groin; D006801:Humans; D008297:Male; D008875:Middle Aged; D010145:Paget Disease, Extramammary / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome