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Letter: Recurrence of periumbilical Paget disease after fresh Mohs treated with slow Mohs with CK-7.
Dermatol Online J
; 17(7): 13, 2011 Jul 15.
Artículo
en Inglés
| MEDLINE
| ID: mdl-21810398
RESUMEN
Extrammamary Paget disease (EMPD) is an uncommon neoplasm that often involves the skin of the genital or perianal regions. There are no clearly established guidelines for treatment, but surgical excision with wide margins (3-5 cm) or Mohs micrographic surgery (MMS) are the techniques of choice when there is no association with an underlying neoplasm. We present a case of EMPD in an unusual location (periumbilical skin). This was treated with fresh MMS, but reappeared, necessitating a second MMS (slow).