Extramammary Paget’s Disease of Vulva in a Postmenopausal Woman: a Case Report

• Main Authors: Reema Bhushan, Shailaja Shukla, Manju Puri
• Format: Article
• Language: English
• Published: JCDR Research and Publications Pvt. Ltd. 2017-10-01
• Series: National Journal of Laboratory Medicine
• Subjects: Pagetoid cells; Vulval lesion; Hyperpigmentation
• Online Access: http://www.njlm.net/articles/PDF/2248/29736_CE(VSU)_F(AK)_PF1(VSU_GG)_PFA(VSU_GG)_PF2(VSU_GG).pdf

Paget’s disease of the vulva is a rare disease. It can present as a primary lesion or as a secondary lesion. When present as a secondary lesion, it is associated with adenocarcinoma originating from local organs such as urethra, or rectum. Patients generally tend to be of postmenopausal age group. We report a case of a 49-year-old postmenopausal woman who presented with the complaints of a slow growing lesion in the vulval region associated with itching. Biopsy from vulval lesion showed presence of pagetoid cells in the epidermis. The subclassification of vulvar Paget’s disease is essential for correct clinical management and treatment. Immunohistochemistry may help in the diagnosis and assessing tumour progression and invasion.