The utility of high-frequency ultrasonography in preoperative assessment of vulvar Paget’s disease – a case report
Michał Migda1,2, Marian Stanisław Migda2, Bartosz Migda3, Robert Krzysztof Mlosek3, Marek Maleńczyk1
1 Clinical Unit of Obstetrics, Women’s Disease and Gynecological Oncology, United District Hospital, Collegium Medicum University of Nicolaus Copernicus in Toruń, Torun, Poland
2 Civis Vita Medical Center Torun, Poland
3 Department of Diagnostic Imaging, Second Faculty of Medicine with the English Division
and the Physiotherapy Division, Medical University of Warsaw, Warsaw, Poland
Correspondence: Michał Migda, Warszawska 20, 87-100 Toruń; Poland,
Paget’s disease of the vulva is a rare skin cancer accounting for less than 1% of all vulvar neoplasias. Surgery is the first treatment of choice. Unfortunately, it is insufficient in many cases, which require further treatment, and the risk of recurrence is high. We present a case of an 85-year-old woman who underwent surgery due to Paget’s disease of the vulva. A preoperative skin imaging using a high-frequency 48 MHz mechanical probe was used to assess the lesion margins. Typical high-frequency ultrasonographic features of vulvar Paget’s disease were identified and analyzed. This is the first report of high-frequency ultrasonography imaging of vulvar Paget’s disease.