When is radiation indicated in the treatment of perianal paget's disease?

A nuimber of options for treatment but not a lot of great data for this rare disease.

Answer from: Radiation Oncologist at Academic Institution

Extramammary Pagets disease is essentially adenocarcinoma in-situ and typically managed surgically. I would not treat with radiation unless it is invasive. If it is invasive and inoperable or if it would require APR, radiation is an excellent option. I treat them like SCCa of the anal canal, except ...

Comments

Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital
Thanks. If noninvasive and the patient is refusing...

Radiation Oncologist at Memorial Sloan-Kettering Cancer Center
The target is the involved area only. In a 92yo, I...

Radiation Oncologist at Florida Cancer Specialists and Research Institute Ocala
Thanks. If inoperable due to size of lesion with d...

Radiation Oncologist at Memorial Sloan-Kettering Cancer Center
I assume by invading you mean invasive and not inv...

Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital
Thank you very much. Very helpful.

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When is radiation indicated in the treatment of perianal paget's disease?

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