title: Extra-mammary Paget's disease of the scrotum and penis: a case report.
abstract: Extra-mammary Paget's disease is a rare disease mainly observed in elderly patients. It is an intra-epithelial adenocarcinoma that involves the area rich in apocrine glands. The most common affected lesions are the vulva and perianal region, followed by the axillae and inguinoscrotal area. Mostly, extra-mammary Paget's disease is restricted to the epidermis, but advanced invasion to the dermis is possible with a poor prognosis of disease. The associated occult malignancy is reported and often exists for more than 10 years without clinical manifestation. We report a case of a 66-year-old male with extra-mammary Paget's disease of the scrotum and penis. The diagnosis and treatment are discussed.
authors.affiliation: Department of Plastic Surgery, Tri-Service General Hospital, National Defence Medical Centre, Taipei, Taiwan, Republic of China.
authors.forename: Y-M
authors.initials: YM
authors.lastname: Chang
authors.forename: K-F
authors.initials: KF
authors.lastname: Hsu
authors.forename: S-C
authors.initials: SC
authors.lastname: Chang
mesh_terms: D000368:Aged; D005834:Genital Neoplasms, Male / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010145:Paget Disease, Extramammary / Q000473:pathology / Q000601:surgery*; D010412:Penile Neoplasms / Q000473:pathology / Q000601:surgery*; D012611:Scrotum