The utility of high-frequency ultrasonography in preoperative assessment of vulvar Paget’s disease – a case report

• Main Authors: Michał Migda, Marian Stanisław Migda, Bartosz Migda, Robert Krzysztof Mlosek, Marek Maleńczyk
• Format: Article
• Language: English
• Published: Medical Communications Sp. z o.o. 2019-12-01
• Series: Journal of Ultrasonography
• Subjects: paget’s disease; vulva; high-frequency ultrasonography; ultrasound
• Online Access: http://www.jultrason.pl/index.php/issues/volume-19-no-79/the-utility-of-high-frequency-ultrasonography-in-preoperative-assessment-of-vulvar-paget-s-disease-a-case-report?aid=770

Paget’s disease of the vulva is a rare skin cancer accounting for less than 1% of all vulvar neoplasias. Surgery is the first treatment of choice. Unfortunately, it is insufficient in many cases, which require further treatment, and the risk of recurrence is high. We present a case of an 85-year-old woman who underwent surgery due to Paget’s disease of the vulva. A preoperative skin imaging using a high-frequency 48 MHz mechanical probe was used to assess the lesion margins. Typical high-frequency ultrasonographic features of vulvar Paget’s disease were identified and analyzed. This is the first report of high-frequency ultrasonography imaging of vulvar Paget’s disease.