title: Management of Adenocarcinoma in the Setting of Recently Operated Perianal Paget's Disease.
abstract: Perianal Paget's disease only rarely presents with a synchronous invasive anal or rectal cancer. The purpose of this study is to present a case of an otherwise healthy patient who developed perianal Paget's disease. He was then found to have an invasive rectal adenocarcinoma, after having undergone an extensive resection and reconstruction with a bilateral V-to-Y reconstruction. This report describes an overview of perianal Paget's disease, the management of this disease in association with anal or rectal cancer, and our patient's outcome.
authors.affiliation: Department of General Surgery, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA.
authors.forename: Margaret E
authors.initials: ME
authors.lastname: Clark
authors.forename: Andrew T
authors.initials: AT
authors.lastname: Schlussel
authors.forename: Ronald A
authors.initials: RA
authors.lastname: Gagliano