A case of vulvar Paget’s disease with partial preservation of anal function by avoiding total circumferential resection

Key Points

• The aim is to preserve anal function during the resection of vulvar Paget’s disease, especially with extensive lesions.
• Conducted mapping biopsy to identify negative areas around the anus.
• Performed rapid intraoperative pathology tests during surgery.
• Maintained continuity of skin and mucosa in negative areas during excision.
• Avoided total circumferential resection of the anal region.
• Achieved successful preservation of anal function post-surgery.
• No need for creation of a colostomy postoperatively.
• Ongoing follow-up shows no signs of anal stenosis or dysfunction.