@Article{,
AUTHOR = {Anant Shukla, Matthew Stringer, Pansy Uberoi, Steven Hudak, George Kallingal},
TITLE = {Management of extramammary Paget’s disease with a staged, modified Mohs technique},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {23},
YEAR = {2016},
NUMBER = {4},
PAGES = {8382--8384},
URL = {http://www.techscience.com/CJU/v23n4/61147},
ISSN = {1488-5581},
ABSTRACT = {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.},
DOI = {}
}