How Is Extramammary Paget's Disease Treated?

There are several options for treating extramammary Paget's disease:

Mohs micrographic surgery

An advanced surgical technique that precisely removes all forms of skin cancer while preserving healthy surrounding tissue.  

Vulvectomy

Surgical removal of all or part of the vulva.

Excisional biopsy

Also called a wide local excision, an excisional biopsy involves surgical removal of a tumor and some normal tissue around it. The amount of normal tissue taken (also called the clinical margin) depends on the thickness of the tumor. 

After surgery, our doctors may need to repair the area with a flap from adjacent skin or a graft taken from elsewhere on your body.

Extramammary Paget's disease can come back, so we make sure to schedule regular checkups. Additional surgery may be required, with other options considered:

Topical therapy with medications

Radiation therapy

The use of high-energy radiation to kill or shrink cancer cells, tumors, and non-cancerous diseases.

Photodynamic therapy

Photodynamic therapy is a precise, patient friendly way to treat some skin cancers and precancerous growths caused by sun damage.

Clinics for Treatments