Perianal Paget’s Disease in a Forty-Five-Year-Old Man and Review of the Literature

Conclusionsa good outcome and no recurrence or complications was noticed in a follow-up period of 24 months. it is important to consider this uncommon disease as a probable diagnosis when evaluating a perianal lesion.case presentationa 45-year-old man presented with perianal itchy lesions for one year with no response to local treatments. perianal paget’s disease was diagnosed by performing a surgical biopsy. wide excision and flap reconstruction was done, while loop sigmoid colostomy was performed for fecal diversion. re-excision of the involved margins was performed during the second operation.introductionextramammary paget’s disease is a rare neoplasm of the skin that might develop in perianal region. although different management options are available, wide local excision is still the method of choice.