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KMID : 0356720140300050241
Journal of the Korean Society of Coloproctology
2014 Volume.30 No. 5 p.241 ~ p.244
Perianal Paget¡¯s Disease
Kim Chang-Woo

Kim Yon-Hee
Cho Min-Soo
Min Byung-Soh
Baik Seung-Hyuk
Kim Nam-Kyu
Abstract
The incidence of extramammary Paget¡¯s disease (EMPD) is very low. An 84-year-old Korean man was treated with topical and oral medications at a local dermatologic clinic for a year, but the symptoms did not improve. He visited Severance Hospital and underwent a perianal skin biopsy and was finally diagnosed with EMPD. The authors performed a wide local excision according to a 1-cm margin around the lesion. For the skin and the soft tissue defects, bilateral inferior gluteal artery perforator flap transpositions were performed. The size of the lesion was 14 cm2 ¡¿ 9 cm2, and the lateral and the basal margins were all disease free.
KEYWORD
Extramammary Paget¡¯s disease, Perianal Paget¡¯s disease
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