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'''For the WikiDoc page for this topic, click [[Extramammary Paget's disease|here]]'''
'''For the WikiDoc page for this topic, click [[Extramammary Paget's disease|here]]'''


{{SI}}
{{Extramammary Paget's disease (patient information)}}


'''Editor-in-Chief:''' Jinhui Wu, MD
{{CMG}}; '''Associate Editor-In-Chief:''' Jinhui Wu, M.D.


{{EJ}}
==Overview==
Extramamary Paget's disease is first reported by Dr. Radcliffe Crocker in 1889. This disease is eczematoid changes in the skin of vulva, penis, greater lip of pudendum and crissum, etc. Usual symptoms include redness, [[tingling]], [[itching]], increased sensitivity, burning, and [[pain]] of the skin. Treatments involve surgery, radiation therapy, or a combination of them.


==What is extramammary Paget's disease?==
==What are the symptoms of Extramammary Paget's disease?==
Usual signs and symptoms are:


==How do I know if I have extramammary Paget's disease and what are the symptoms of extramammary Paget's disease?==
*Eczematoid changes in the area skin


==Who is at risk for extramammary Paget's disease?==
*[[Tingling]], [[itching]], increased sensitivity, burning, and [[pain]] of the skin
     
Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that the problems can be diagnosed and treated as early as possible.
 
==Who is at highest risk?==
The cause of  Extramammary Paget's disease (EMPD) is unknown.
The cause of  Extramammary Paget's disease (EMPD) is unknown.


==How to know you have extramammary Paget's disease?==
==When to seek urgent medical care?==
Call your health care provider if symptoms of extramammary Paget's disease develop. If you experience either of the following symptoms, seeking urgent medical care as soon as possible:
*Skin irritation,
*Redness, or
*Scaliness of the skin
 
==Diagnosis==
*[[Biopsy]]: Biopsy is the most important test for the diagnosis. During this peroid, the doctors remove a small amount of tissue for examination under a microscope. Then the pathologists may analyze the samples and tell whether the tissues is benign or cancerous, what kind of cancer it is.


==When to seek urgent medical care?==
*Computed tomography (CT) scan and biopsy: CT scans are often used to diagnose extramamary Paget's disease. It can confirm the location of the cancer and show the organs nearby, as well as lymph nodes and distant organs where the cancer might have spread. These are helpful for determining the stage of the cancer and in determining whether surgery is a good treatment option. CT scans can also be used to guide biopsy and a biopsy sample is usually removed and looked at under a microscope.
 
*Magnetic resonance imaging (MRI): An MRI uses magnetic fields but it is a different type of image than what is produced by computed tomography (CT) and produces detailed images of the body. Like computed tomography (CT), a contrast agent may be injected into a patient’s vein to create a better picture.
 
*Chest X-ray: This plain x-ray of your chest may be done to see if the cancer has spread to your lungs.
 
*Whole Bone Scan: The goal of a whole body bone scan is to show if a cancer has metastasized to your bones.


==Treatment options==
==Treatment options==
Patients with extramammary Paget's disease have many treatment options. The selection depends on the stage of the tumor. The options are surgery, radiation therapy, or a combination of these methods. Before treatment starts, ask your health care team about possible side effects and how treatment may change your normal activities. Because cancer treatments often damage healthy cells and tissues, side effects are common. Side effects may not be the same for each person, and they may change from one treatment session to the next.
*Surgery: This is the main treatment for the disease. The goal is to remove the tumor and some surrounding tissue to make sure that the entire tumor is removed. The indication of surgery depends on the stage of the cancer and the patient's general health.
*Radiation therapy: This is a cancer treatment to kill cancer cells or keep them from growing by using high-energy x-rays or other types of radiation.


==Diseases with similar symptoms==
==Diseases with similar symptoms==
:*[[Basal Cell Carcinoma]]
*[[Basal Cell Carcinoma]]


:*[[Intertrigo]]
*[[Intertrigo]]


:*[[Lichen Simplex Chronicus]]
*Lichen simplex chronicus


:*[[Candidiasis]]
*[[Candidiasis]]
:*[[Contact Dermatitis]]  
*[[Contact Dermatitis]]
 
*[[Tinea Cruris]]


:*[[Tinea Cruris]]
==Where to find medical care for Extramammary Paget's disease?==


==Where to find medical care for extramammary Paget's disease?==
[http://maps.google.com/maps?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|map+top+hospital+Extramammary Paget's disease}}}}&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&sa=N&hl=en&tab=wl Directions to Hospitals Treating Extramammary Paget's disease]


[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|extramammary Paget's disease}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating extramammary Paget's disease]
==What to expect (Outlook/Prognosis)?==
The prognosis of extramamary Paget's disease depends on the following:


==Prevention of extramammary Paget's disease==
*Whether or not the tumor can be removed by surgery


==What to expect (Outook/Prognosis)?==
*The stage of the cancer: the size of the tumor, whether the cancer has spread outside the vulva or penis


==Copyleft Sources==
*The patient’s general health
http://dermnetnz.org/site-age-specific/extra-mammary-paget.html
 
*Whether the cancer has just been diagnosed or has recurred


http://emedicine.medscape.com/article/1100397-overview
==Prevention==
For the risk factors are not clear, the preventive measure is unknown.


==Source==
http://dermnetnz.org/site-age-specific/extra-mammary-paget.html
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[[Category:Patient Information]]
 
[[Category:Disease]]
[[Category:Dermatology]]
[[Category:Gynecology]]
[[Category:Patient information]]
[[Category:Dermatology patient information]]
[[Category:Gynecology patient information]]
[[Category:Oncology patient information]]
[[Category:Overview complete]]
[[Category:Template complete]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Dermatology]]
[[Category:Surgery]]

Latest revision as of 23:20, 26 November 2017

For the WikiDoc page for this topic, click here

Extramammary Paget's disease

Overview

What are the symptoms?

Who is at highest risk?

When to seek urgent medical care?

Diagnosis

Treatment options

Diseases with similar symptoms

Where to find medical care for Extramammary Paget's disease?

What to expect (Outlook/Prognosis)?

Prevention

Extramammary Paget's disease On the Web

Ongoing Trials at Clinical Trials.gov

Images of Extramammary Paget's disease

Videos on Extramammary Paget's disease

FDA on Extramammary Paget's disease

CDC on Extramammary Paget's disease

Extramammary Paget's disease in the news

Blogs on Extramammary Paget's disease

Directions to Hospitals Treating Extramammary Paget's disease

Risk calculators and risk factors for Extramammary Paget's disease

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Jinhui Wu, M.D.

Overview

Extramamary Paget's disease is first reported by Dr. Radcliffe Crocker in 1889. This disease is eczematoid changes in the skin of vulva, penis, greater lip of pudendum and crissum, etc. Usual symptoms include redness, tingling, itching, increased sensitivity, burning, and pain of the skin. Treatments involve surgery, radiation therapy, or a combination of them.

What are the symptoms of Extramammary Paget's disease?

Usual signs and symptoms are:

  • Eczematoid changes in the area skin

Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that the problems can be diagnosed and treated as early as possible.

Who is at highest risk?

The cause of Extramammary Paget's disease (EMPD) is unknown.

When to seek urgent medical care?

Call your health care provider if symptoms of extramammary Paget's disease develop. If you experience either of the following symptoms, seeking urgent medical care as soon as possible:

  • Skin irritation,
  • Redness, or
  • Scaliness of the skin

Diagnosis

  • Biopsy: Biopsy is the most important test for the diagnosis. During this peroid, the doctors remove a small amount of tissue for examination under a microscope. Then the pathologists may analyze the samples and tell whether the tissues is benign or cancerous, what kind of cancer it is.
  • Computed tomography (CT) scan and biopsy: CT scans are often used to diagnose extramamary Paget's disease. It can confirm the location of the cancer and show the organs nearby, as well as lymph nodes and distant organs where the cancer might have spread. These are helpful for determining the stage of the cancer and in determining whether surgery is a good treatment option. CT scans can also be used to guide biopsy and a biopsy sample is usually removed and looked at under a microscope.
  • Magnetic resonance imaging (MRI): An MRI uses magnetic fields but it is a different type of image than what is produced by computed tomography (CT) and produces detailed images of the body. Like computed tomography (CT), a contrast agent may be injected into a patient’s vein to create a better picture.
  • Chest X-ray: This plain x-ray of your chest may be done to see if the cancer has spread to your lungs.
  • Whole Bone Scan: The goal of a whole body bone scan is to show if a cancer has metastasized to your bones.

Treatment options

Patients with extramammary Paget's disease have many treatment options. The selection depends on the stage of the tumor. The options are surgery, radiation therapy, or a combination of these methods. Before treatment starts, ask your health care team about possible side effects and how treatment may change your normal activities. Because cancer treatments often damage healthy cells and tissues, side effects are common. Side effects may not be the same for each person, and they may change from one treatment session to the next.

  • Surgery: This is the main treatment for the disease. The goal is to remove the tumor and some surrounding tissue to make sure that the entire tumor is removed. The indication of surgery depends on the stage of the cancer and the patient's general health.
  • Radiation therapy: This is a cancer treatment to kill cancer cells or keep them from growing by using high-energy x-rays or other types of radiation.

Diseases with similar symptoms

  • Lichen simplex chronicus

Where to find medical care for Extramammary Paget's disease?

Directions to Hospitals Treating Extramammary Paget's disease

What to expect (Outlook/Prognosis)?

The prognosis of extramamary Paget's disease depends on the following:

  • Whether or not the tumor can be removed by surgery
  • The stage of the cancer: the size of the tumor, whether the cancer has spread outside the vulva or penis
  • The patient’s general health
  • Whether the cancer has just been diagnosed or has recurred

Prevention

For the risk factors are not clear, the preventive measure is unknown.

Source

http://dermnetnz.org/site-age-specific/extra-mammary-paget.html Template:WH Template:WS