RT Book, Section A1 Usatine, Richard P. A1 Smith, Mindy A. A1 Chumley, Heidi S. A1 Mayeaux, E.J. SR Print(0) ID 57675522 T1 Chapter 86. Paget Disease of the External Genitalia T2 The Color Atlas of Family Medicine, 2e YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-176964-8 LK accessmedicine.mhmedical.com/content.aspx?aid=57675522 RD 2024/04/19 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 86-1). 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.