Extramammary Paget’s disease involving the bilateral axillae followed by adhesive capsulitis of the shoulder: a case report

Abstract

Few cases of bilateral axillary extramammary Paget’s disease (EMPD) have been reported. We performed surgical excision and reconstruction in a patient with bilateral axillary EMPD after consultation with dermatology. A dermatologist determined the boundaries of the lesion through Mohs micrographic surgery, and a plastic surgeon excised the lesion and reconstructed the resulting defect. Skin grafts were simultaneously performed to reconstruct the bilateral axillae. After the operation, the reconstructed site healed well, but the range of motion of both shoulders was reduced. After referral to a doctor specializing in rehabilitation, the patient was diagnosed with adhesive capsulitis and received additional treatment. Since no previous reports have presented a case of adhesive capsulitis after the reconstruction of bilateral axillary EMPD using skin graft, this case is noteworthy.