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J Med Case Rep. 2009 Jan 6;3:4. doi: 10.1186/1752-1947-3-4.

Extramammary Paget's disease of the penis: a case report and review of the literature.

Author information

1
Regional Cancer Centre, Department of Urology, Wirral University Teaching Hospital, Arrowe Park Road, Upton, Wirral, CH49 5PE, UK. nigelparr@dsl.pipex.com.

Abstract

INTRODUCTION:

Extramammary Paget's disease is a rare cutaneous, slow growing, intraepithelial adenocarcinoma developing in the apocrine gland-bearing areas. Isolated Paget's disease of the penis is extremely rare.

CASE PRESENTATION:

We describe the case of an 87-year-old Caucasian male who presented with a non-healing erythematous plaque on the shaft of the penis previously misdiagnosed as Bowen's disease. The diagnosis was made histologically on the excised specimen and was supported by immunohistochemical staining.

CONCLUSION:

Extramammary Paget's disease is a rare disease which can mimic various types of dermatosis. A high index of suspicion is required, combined with biopsy and immunohistochemical staining in order to make the correct diagnosis. Long-term follow-up is mandatory in these patients in order to identify and treat any subsequent recurrence or concurrent malignancy.

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