Verrucous and exudative plaque on the scrotum
DOI:
https://doi.org/10.29176/2590843X.2049Keywords:
Neoplasm, genitalia, bias, Extramammary pagets diseaseAbstract
Extramammary Paget's disease is a rare malignant epithelial neoplasm, frequently found in body areas rich in apocrine glands. The external genitalia are often affected, more so in women. Treatment depends on the stage of the disease, and wide local resections can be performed.
We present the case of a patient with a lesion on his scrotum who was managed as having a superficial fungal infection for 2 years without showing any improvement. Clinical suspicion, biopsy, and immunohistochemistry helped us confirm the diagnosis.
Author Biographies
Jeyson Montero-Castaño, Universidad del Valle, Cali, Colombia
Residente de Dermatología, Universidad del Valle, Cali, Colombia
Jonny Alejandro García-Luna, Universidad del Valle, Cali, Colombia
Residente de Dermatología, Universidad del Valle, Cali, Colombia
Luis Fernando Cárdenas-Cardona, Universidad del Valle, Cali, Colombia
Dermatopatólogo. Docente de Dermatología, Universidad del Valle, Cali, Colombia.
References
Nabavizadeh R, Vashi KB, Nabavizadeh B, Narayan VM, Master VA. Extramammary Paget's disease: Updates in the workup and management. Asian journal of urology, 2022; 9(4), 451–459.
Morris CR, Hurst EA. Extramammary Paget Disease: A Review of the Literature-Part I: History, Epidemiology, Pathogenesis, Presentation, Histopathology, and Diagnostic Work-up. Dermatologic surgery: official publication for American Society for Dermatologic Surgery, 2020; 46(2), 151–158.
Juang GD, Lin MY, Hwang TI. Extramammary Paget's disease of the scrotum. Journal of the Chinese Medical Association, 2011; 74(7), 325–328.
Shabihkhani M, Patil P, Murati A, Plaza JA, Osunkoya AO, Lombardo KA, et al. Extramammary Paget Disease of the Scrotum: A Contemporary Clinicopathologic Analysis of 20 Cases in the United States. Applied immunohistochemistry & molecular morphology, 2020; 28(7), 524–531.
Ko CJ, Gehlhausen JR, Cohen JM, Croskerry P, Cognitive Bias in the Patient Encounter: Part I. Background and significance, Journal of the American Academy of Dermatology, 2024; S0190-9622(24)00557-7.
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Copyright (c) 2025 Jeyson Montero-Castaño, Jonny Alejandro García-Luna, Luis Fernando Cárdenas-Cardona
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
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