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Paget's disease is a slowly growing malignancy of the skin of the vulva.
 Visually, Paget's disease looks like a very bad case of vulvar Monilia. However:
- It has an asymmetrical distribution over the vulvar skin, and
- It doesn't' get better with conventional anti-fungal agents.
It has an eczematoid appearance, with dry, crusty skin in some areas, but moist and
weepy in other areas. Contact bleeding is significant.
The diagnosis is confirmed with a vulvar biopsy.
It is usually treated successfully with local excision.
Military Obstetrics & Gynecology
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