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Case Reports in Surgery
Volume 2013, Article ID 510813, 5 pages
Case Report

Management of Adenocarcinoma in the Setting of Recently Operated Perianal Paget's Disease

Department of General Surgery, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA

Received 9 April 2013; Accepted 2 May 2013

Academic Editors: O. Dalpiaz and R. Mofidi

Copyright © 2013 Margaret E. Clark et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Perianal Paget’s disease only rarely presents with a synchronous invasive anal or rectal cancer. The purpose of this study is to present a case of an otherwise healthy patient who developed perianal Paget’s disease. He was then found to have an invasive rectal adenocarcinoma, after having undergone an extensive resection and reconstruction with a bilateral V-to-Y reconstruction. This report describes an overview of perianal Paget’s disease, the management of this disease in association with anal or rectal cancer, and our patient’s outcome.