Management of extramammary Paget's disease with a staged, modified Mohs technique

Anant Shukla, Matthew Stringer, Pansy Uberoi, Steven Hudak, George Kallingal

Research output: Contribution to journalArticlepeer-review


Extramammary Paget's disease (EMPD) is a rare intraepithelial adenocarcinoma arising from apocrine glands. We describe an innovative surgical technique to manage extensive cutaneous malignancies in a notoriously challenging location. The patient is a 78-year-old male who presented with "jock itch" on his left groin refractory to topical treatment. A shave biopsy of the lesion demonstrated non-invasive EMPD which yielded a urology consult. Rather than the standard wide local excision (WLE), which can lead to positive margins, progression, and recurrence, we used a modified the Mohs technique and staged the procedure, providing excellent oncologic and cosmetic outcomes. The described technique has particular merit with uncertain margin status and when geography of lesions preclude a standard Mohs surgery.

Original languageEnglish (US)
Pages (from-to)8382-8384
Number of pages3
JournalCanadian Journal of Urology
Issue number4
StatePublished - Jan 1 2016
Externally publishedYes


  • Eczematous lesions
  • Extramammary Paget's disease (EMPD)
  • Intraepithelial malignancy
  • Mohs surgery
  • Staged surgical technique

ASJC Scopus subject areas

  • Urology


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