RT Book, Section A1 Mayeaux, Jr., E.J. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164351599 T1 Paget Disease of The External Genitalia T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK accessmedicine.mhmedical.com/content.aspx?aid=1164351599 RD 2024/04/15 AB A 60-year-old woman presented with vulvar pruritus for 1 year that is now constant. On physical examination, there is one large red lesion surrounded by white epithelium (Figure 88-1). A 3-mm punch biopsy was done of the white island within the red lesion using local anesthesia. The pathology showed Paget disease of the vulva. The patient underwent a wide local excision of the involved area and no malignancy was found.