Journal of Cutaneous and Aesthetic Surgery
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Year : 2014  |  Volume : 7  |  Issue : 2  |  Page : 131-134

Primary bilateral extramammary Paget's disease of the axillae: Another case of this strange disease

1 MD of the Division of Plastic, Department of Plastic and Reconstruction Surgery, Piazzale Gambuli, Sant' Andrea delle Fratte, Perugia, Italy
2 Department Chair of Plastic, Reconstructive and Aesthetic Surgery Division, Reconstructive and Aesthetic Surgery, University of the Study of Perugia, Perugia, Italy

Correspondence Address:
Dr. Del Torto Giuseppe
Division of Plastic, Reconstructive and Aesthetic Surgery, University of the Study of Perugia, via R. Leoncavallo 806132 Perugia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2077.138365

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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.

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