title: Primary Bilateral Extramammary Paget's Disease of the Axillae: Another Case of this Strange Disease.
abstract: Primary extramammary Paget's disease of the axilla is a rare variant with the capability of mimicking other more common conditions. We present a case of a 65-year-old woman with inflammatory skin lesions of both axillae clinically unresponsive to long-term conventional topical therapy. We decided to excise and reconstruct the resulting soft tissue defect of the major lesion by using a thoraco-dorsal artery perforator-based Limberg's flap. The histopathological examination showed intracellular mucin, signet cells, and glandular structures, the typical pattern of the EMPD. This was a very interesting case of a per se rare condition.
authors.affiliation: MDs of the Division of Plastic, Department of Plastic and Reconstruction Surgery, Piazzale Gambuli, Sant' Andrea delle Fratte, Perugia, Italy.
authors.forename: Chiummariello
authors.initials: C
authors.lastname: Stefano
authors.affiliation: MDs of the Division of Plastic, Department of Plastic and Reconstruction Surgery, Piazzale Gambuli, Sant' Andrea delle Fratte, Perugia, Italy.
authors.forename: Del Torto
authors.initials: del T
authors.lastname: Giuseppe
authors.affiliation: MDs of the Division of Plastic, Department of Plastic and Reconstruction Surgery, Piazzale Gambuli, Sant' Andrea delle Fratte, Perugia, Italy.
authors.forename: Maffia
authors.initials: M
authors.lastname: Romano
authors.affiliation: Department Chair of Plastic, Reconstructive and Aesthetic Surgery Division, Reconstructive and Aesthetic Surgery, University of the Study of Perugia, Perugia, Italy.
authors.forename: Alfano
authors.initials: A
authors.lastname: Carmine
keywords: Axillary Paget's disease; bilateral axillary Paget's disease; extramammary Paget's