Coexisting Vulvar Paget’s Disease and Mucinous Carcinoma
of the Breast: A Case Report and Review of the Literature
Rangsima Aroonroch MD*, Yingluck Visetsiri MD*,
Sansanee Wongwaisayawan MD*, Chuenkamon Charakorn MD**,
Siroj Kanchanapanjapol MD***, Mana Rochanawutanon MD*
Affiliation :
* Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
** Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
*** Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Vulvar Paget’ disease is the most common site of extramammary Paget’s disease (EMPD). The disease frequently
associated with the underlying invasive skin adnexal carcinoma or representing the migration of underlying internal
malignancy, especially anorectal and genitourinary cancer, but the coexisting with primary breast cancer is rare. Herein,
the authors report a case of a 46-year-old Thai woman who had vulvar Paget’s disease with subsequent development of
mucinous carcinoma of the breast. Interestingly, the overexpression of HER-2/neu in vulvar Paget’s disease raises the
additional option of anti-HER-2/neu antibody therapy in highly aggressive or recurrent disease. In conclusion, primary
breast cancer should be of concern in patients with vulva Paget’s disease, even though it is an uncommon association.
Keywords : Vulvar Paget’s disease, Co-existing cancer, Breast cancer, Mucinous carcinoma
All Articles
Download