Paget's disease of the vulva--a review of our experience.

OBJECTIVE

The aim of our study was to review our experience with Paget's disease of the vulvar relative to initial examination, treatment and oncological outcome.

METHODS

Ten women with extramammary Paget's diseases of the vulva were treated during the 10-year period. The charts of these patients were reviewed and data were collected regarding patient demographics, symptoms, previous Paget's disease, surgical treatments and time to recurrence.

RESULTS

Eight women (80%) were treated with wide local excision or partial vulvectomy, and two patients (20%) required radical resection for invasive adenocarcinoma. The group of women who had invasive diseases also underwent inquinofemoral lymphadenectomy and no lymphatic metastases were noted. Three women (30%) experienced recurrence. The mean time to relapse was 30 months (range 3-88 months).

CONCLUSION

Recurrence is very common and long-term monitoring is recommended with careful examination of any abnormal vulvar lesion.