Intraepidermal perianal Paget’s disease.

the Autthors report a case of localised perianal Paget's disease consisting of an eczematous lesion unresponsive to steroid anal treatment subsequently treated with local excision. the patient after 20 months is alive and presents no further signs of disease. The Authors therefore point out that in elderly patients with stage I perianal Paget's disease local wide excision is considered the best therapeutical choice.