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The Color Atlas of Family Medicine | Part 11. Women's Health > Section 3. Vulva > | Chapter 82. Paget's Disease of the Vulva Sections: Patient's Story, Epidemiology, Etiology and Pathophysiology, Diagnosis, Differential Diagnosis, Management, Follow-Up, References. Topics Discussed: vulval paget's disease. Excerpt:"A 60-year-old woman presented with vulvar pruritis for 1 year that is now constant. On physical examination, there is one large red lesion surrounded by white epithelium (Figure 82-1). A 3-mm punch biopsy was done of the white island within the red lesion using local anesthesia. The pathology showed Paget's disease of the vulva. The patient underwent a wide local excision of the involved area and no malignancy was found...."
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