Difference between revisions of "Extramammary Paget disease"

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*Epitheliod morphology (round/ovoid).
*Epitheliod morphology (round/ovoid).
*Cells nested or single.
*Cells nested or single.
*Classically Paget cells ride above the basal cell layer
*But the process can fill the entire epidermis
*Clear/pale cytoplasm '''key feature''' - may also be eosinophilic.
*Clear/pale cytoplasm '''key feature''' - may also be eosinophilic.
*Large nucleoli.
*Large nucleoli.
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===DDx===
===DDx===
*Benign Toker cell hyperplasia.
*[[Malignant melanoma in situ]].
*[[Malignant melanoma]].
*[[Bowen disease]] - Pagetoid squamous cell carcinoma in situ.
*[[Bowen disease]].
*[[Apocrine carcinoma of the skin]] - really Paget with an underlying apocrine carcinoma.<ref>URL: [http://derm101.com/searchResults.aspx?searchStr=apocrine+carcinoma&rootTerm=apocrine+carcinoma&searchType=2&rootID=12687 http://derm101.com/searchResults.aspx?searchStr=apocrine+carcinoma&rootTerm=apocrine+carcinoma&searchType=2&rootID=12687]. Accessed on: 9 September 2011.</ref>
*[[Apocrine carcinoma of the skin]].<ref>URL: [http://derm101.com/searchResults.aspx?searchStr=apocrine+carcinoma&rootTerm=apocrine+carcinoma&searchType=2&rootID=12687 http://derm101.com/searchResults.aspx?searchStr=apocrine+carcinoma&rootTerm=apocrine+carcinoma&searchType=2&rootID=12687]. Accessed on: 9 September 2011.</ref>
*[[Vulvar squamous cell carcinoma]].
*[[Vulvar squamous cell carcinoma]].
*Pagetoid vulvar intraepithelial neoplasia
*Toker cell hyperplasia is really just a nipple (mammary Paget issue).


==Stains==
==Stains==
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