Evidence map›Paper›PMID 40661719›Full record

ArticleJournal of surgical case reports2025

Diagnostic delays and nuanced surgical management in perianal Paget's disease: a case report and review of current literature.

Cyprien Jungels, Megan Bedard, Daine Bennett

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Cyprien JungelsHCA HealthOne, Swedish General Surgery Residency, Swedish Medical Center, 501 E Hampden Ave, Englewood, CO 80113, United States.ORCID https://orcid.org/0000-0001-6463-7084
Megan BedardHCA HealthOne, Swedish General Surgery Residency, Swedish Medical Center, 501 E Hampden Ave, Englewood, CO 80113, United States.
Daine BennettSurgOne, PC, Colorectal Surgery, 8490 E Crescent Parkway, Suite 380, Greenwood Village, CO 80111, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perianal Paget's disease is an uncommon and difficult to treat disease due to the high risk of positive margin at resection and high risk for recurrence. It can arise as a primary tumor or secondary to underlying pelvic visceral malignancy and is often initially misdiagnosed as an inflammatory perianal rash until proper pathologic diagnosis has been confirmed. We present the case of a 76-year-old woman who presented with 2 years of a perianal rash unsuccessfully treated with various topical interventions. Eventually, a biopsy was performed revealing extramammary Paget's disease and she underwent surgical excision of the perianal lesion. Operative pathology unfortunately exhibited positive margins and we detail the multidisciplinary discussion of further management options in this complicated clinical dilemma. This case highlights the importance of early recognition of this disease and a multidisciplinary approach to its treatment.

Indexed as

chemotherapymultidisciplinary careperianal Paget’s diseaseradiotherapywide local excision

Identifiers

PMID40661719
PMCPMC12257078

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.