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

• Main Authors: Ekwueme Kingsley C, Zakhour Hani D, Parr Nigel J
• Format: Article
• Language: English
• Published: BMC 2009-01-01
• Series: Journal of Medical Case Reports
• Online Access: http://www.jmedicalcasereports.com/content/3/1/4

<p>Abstract</p> <p>Introduction</p> <p>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.</p> <p>Case presentation</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>