Noninvasive vulvar lesions: An illustrated guide to diagnosis and treatment

Excision is the treatment of choice

Any attempt to achieve negative margins must utilize frozen section. Some studies have suggested that negative margins are not associated with a reduced rate of recurrence, but these findings have been inconsistent.

Recurrence is common

Paget’s disease of the vulva often recurs, especially when the initial lesion is large. Close monitoring will detect these recurrences when they’re quite small and easily removed via local excision. Occasionally, the initial disease is so extensive that skin grafting may be necessary to cover the defect.

The author reports no financial relationships relevant to this article.