Paget's disease of the glans penis secondary to transitional cell carcinoma of the bladder: a report of two cases and review of the literature

Background:  Extramammary Paget's disease of the glans penis secondary to transitional cell carcinoma (TCC) of the bladder is rare, with only a few cases reported in the literature. We report two new cases, one detected before diagnosing bladder TCC. Methods:  We describe the clinicopathologic...

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Veröffentlicht in:Journal of cutaneous pathology 2004-04, Vol.31 (4), p.341-345
Hauptverfasser: Salamanca, J., Benito, A., García‐Peñalver, C., Azorín, D., Ballestín, C., Rodríguez‐Peralto, J. L.
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container_end_page 345
container_issue 4
container_start_page 341
container_title Journal of cutaneous pathology
container_volume 31
creator Salamanca, J.
Benito, A.
García‐Peñalver, C.
Azorín, D.
Ballestín, C.
Rodríguez‐Peralto, J. L.
description Background:  Extramammary Paget's disease of the glans penis secondary to transitional cell carcinoma (TCC) of the bladder is rare, with only a few cases reported in the literature. We report two new cases, one detected before diagnosing bladder TCC. Methods:  We describe the clinicopathologic features of two patients with intraepithelial spread of glans TCC and the histochemical and immunohistochemical features of the neoplasm. Results:  Light microscopy detected intraepithelial proliferation of neoplastic, large, pale cells located predominantly in the basal and parabasal layers of the epithelium. The pagetoid cells showed positive cytoplasmic staining for mucosubstances and immunoreactivity for CK20. The previously reported cases are reviewed and the differential diagnosis is discussed. Conclusions:  As many benign and malignant glans lesions may be clinically similar, histologic study is necessary to correctly diagnose primary lesions and promptly detect underlying asymptomatic visceral malignancies initially presenting as Paget's disease.
doi_str_mv 10.1111/j.0303-6987.2004.0184.x
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L.</creatorcontrib><title>Paget's disease of the glans penis secondary to transitional cell carcinoma of the bladder: a report of two cases and review of the literature</title><title>Journal of cutaneous pathology</title><addtitle>J Cutan Pathol</addtitle><description>Background:  Extramammary Paget's disease of the glans penis secondary to transitional cell carcinoma (TCC) of the bladder is rare, with only a few cases reported in the literature. We report two new cases, one detected before diagnosing bladder TCC. Methods:  We describe the clinicopathologic features of two patients with intraepithelial spread of glans TCC and the histochemical and immunohistochemical features of the neoplasm. Results:  Light microscopy detected intraepithelial proliferation of neoplastic, large, pale cells located predominantly in the basal and parabasal layers of the epithelium. The pagetoid cells showed positive cytoplasmic staining for mucosubstances and immunoreactivity for CK20. The previously reported cases are reviewed and the differential diagnosis is discussed. Conclusions:  As many benign and malignant glans lesions may be clinically similar, histologic study is necessary to correctly diagnose primary lesions and promptly detect underlying asymptomatic visceral malignancies initially presenting as Paget's disease.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor</subject><subject>Carcinoma in Situ - metabolism</subject><subject>Carcinoma in Situ - pathology</subject><subject>Carcinoma, Transitional Cell - metabolism</subject><subject>Carcinoma, Transitional Cell - pathology</subject><subject>Carcinoma, Transitional Cell - surgery</subject><subject>Dermatology</subject><subject>Humans</subject><subject>Immunoenzyme Techniques</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neoplasm Recurrence, Local</subject><subject>Neoplasms, Multiple Primary</subject><subject>Paget Disease, Extramammary - metabolism</subject><subject>Paget Disease, Extramammary - pathology</subject><subject>Penile Neoplasms - metabolism</subject><subject>Penile Neoplasms - pathology</subject><subject>Skin involvement in other diseases. 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Miscellaneous. General aspects</topic><topic>Urinary Bladder Neoplasms - metabolism</topic><topic>Urinary Bladder Neoplasms - pathology</topic><topic>Urinary Bladder Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Salamanca, J.</creatorcontrib><creatorcontrib>Benito, A.</creatorcontrib><creatorcontrib>García‐Peñalver, C.</creatorcontrib><creatorcontrib>Azorín, D.</creatorcontrib><creatorcontrib>Ballestín, C.</creatorcontrib><creatorcontrib>Rodríguez‐Peralto, J. 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Results:  Light microscopy detected intraepithelial proliferation of neoplastic, large, pale cells located predominantly in the basal and parabasal layers of the epithelium. The pagetoid cells showed positive cytoplasmic staining for mucosubstances and immunoreactivity for CK20. The previously reported cases are reviewed and the differential diagnosis is discussed. Conclusions:  As many benign and malignant glans lesions may be clinically similar, histologic study is necessary to correctly diagnose primary lesions and promptly detect underlying asymptomatic visceral malignancies initially presenting as Paget's disease.</abstract><cop>Oxford, UK; Malden , USA</cop><pub>Munksgaard International Publishers</pub><pmid>15005693</pmid><doi>10.1111/j.0303-6987.2004.0184.x</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aged
Biological and medical sciences
Biomarkers, Tumor
Carcinoma in Situ - metabolism
Carcinoma in Situ - pathology
Carcinoma, Transitional Cell - metabolism
Carcinoma, Transitional Cell - pathology
Carcinoma, Transitional Cell - surgery
Dermatology
Humans
Immunoenzyme Techniques
Male
Medical sciences
Neoplasm Recurrence, Local
Neoplasms, Multiple Primary
Paget Disease, Extramammary - metabolism
Paget Disease, Extramammary - pathology
Penile Neoplasms - metabolism
Penile Neoplasms - pathology
Skin involvement in other diseases. Miscellaneous. General aspects
Urinary Bladder Neoplasms - metabolism
Urinary Bladder Neoplasms - pathology
Urinary Bladder Neoplasms - surgery
title Paget's disease of the glans penis secondary to transitional cell carcinoma of the bladder: a report of two cases and review of the literature
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