Open AccessSonographic findings of mass-forming extramammary Paget’s disease in the scrotum
Author(s) -
Young Sup Shim,
So Hyun Park,
Seung Joon Choi,
Su Joa Ahn,
Yu Mi Jeong,
Tae Beom Kim,
Juhyeon Jeong,
Hee Joo Kim
Publication year - 2019
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20190018
Subject(s) - extramammary paget's disease , scrotum , malignancy , medicine , histopathology , lesion , dermis , pathology , metastasis , radiology , disease , cancer , surgery
Extramammary Paget’s disease (EMPD) is a rare cutaneous malignancy involving the scrotum and may be confused with other scrotal malignancy. We describe the sonographic findings of an extremely rare case of mass-forming EMPD of the scrotal wall. Ultrasonography, which shows mild heterogeneous hyperechoic masses with a stalk connected to the dermis, can help predict the depth of vertical invasion of the lesion. The lesion extent should be precisely evaluated because the presence of dermal invasion of EMPD is the risk factor in distant metastasis and is known to result in a worse prognosis. Ultrasonography is a primary imaging modality to evaluate the extent and vertical invasion of EMPD. Surgical local wide excision is the treatment of choice for EMPD and histopathology confirmed the diagnosis.