title: Letter: Recurrence of periumbilical Paget disease after fresh Mohs treated with slow Mohs with CK-7.
abstract: Extrammamary Paget disease (EMPD) is an uncommon neoplasm that often involves the skin of the genital or perianal regions. There are no clearly established guidelines for treatment, but surgical excision with wide margins (3-5 cm) or Mohs micrographic surgery (MMS) are the techniques of choice when there is no association with an underlying neoplasm. We present a case of EMPD in an unusual location (periumbilical skin). This was treated with fresh MMS, but reappeared, necessitating a second MMS (slow).
authors.forename: I Salüero
authors.initials: IS
authors.lastname: Ferández
authors.forename: L Rios
authors.initials: LR
authors.lastname: Buceta
authors.forename: Carmen Moreno Garcia
authors.initials: CM
authors.lastname: Del Real
authors.forename: Rosario Carrillo
authors.initials: RC
authors.lastname: Gijón
mesh_terms: D000005:Abdomen / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010145:Paget Disease, Extramammary / Q000473:pathology / Q000601:surgery*; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*