case_images: PMC3663178_01
case_images: Clinical aspect of extensive extramammary invasive Pagetaes disease with involvement of groins scrotum and perineum
case_images: JCAS-6-41-g001.jpg
case_images: PMC3663178_01_JCAS-6-41-g001.jpg
case_images: F1
case_images: On examination we observed an extensive erythematous lesion of groins, perineum and proximal parts of scrotal skin with peripheral scaling and central oozing [Figure 1].
case_images: Surgical situs after Mohs surgery
case_images: JCAS-6-41-g002.jpg
case_images: PMC3663178_01_JCAS-6-41-g002.jpg
case_images: F2
case_images: Treatment and course: We performed complete surgical excision with delayed Mohs techniques [Figure 2].
case_images: The excised tumor
case_images: JCAS-6-41-g003.jpg
case_images: PMC3663178_01_JCAS-6-41-g003.jpg
case_images: F3
case_images: The histopathological work-up revealed a Paget carcinoma (apocrine adenocarcinoma) surrounded by intraepidermal Paget's disease [Figure 3].
case_images: Histopathology of the tumor with pagetoid cell proliferations and invasive growth (H and E, x4)
case_images: JCAS-6-41-g004.jpg
case_images: PMC3663178_01_JCAS-6-41-g004.jpg
case_images: F4
case_images: The resulting defect was closed by split-skin mesh-graft and the scrotum was partially reconstructed by extension of scrotal skin [Figure 4].
case_images: Mesh-graft split skin transplantation after induction of granulation by topical CO2
case_images: JCAS-6-41-g005.jpg
case_images: PMC3663178_01_JCAS-6-41-g005.jpg
case_images: F5
case_images: The healing was uneventful and the outcome was functionally and esthetical very good [Figure 5].