What are the indications for postoperative radiation for extramammary Paget's disease?

This is a very interesting rare disease, and a great question. We have had a relatively high volume of these cases come through our dermatology department. First of all, it must be invasive extramammary Paget's disease to even consider radiation. Second of all, the workup must include screening for ...

Agree with Dr. @Dr. First Last if there is a component of invasive disease or adenocarcinoma component or node positive disease. This is an extremely rare disease and most often, it is superficial without invasive components.

Surgical resection or topical management is the first line of treatment, ...