Paget's disease of the vulva: A challenge for the gynaecologist.

Abstract Paget's disease of the vulva is a rare form of extramammary Paget's disease mainly affecting postmenopausal women. Its pathophysiology remains largely unknown. Up to fairly recently, the only treatment for this disease was surgery, often mutilating the vulva, with significant psychosexual repercussions without the assurance of complete therapeutic efficacy. New therapeutic approaches –topical treatments, radiotherapy or chemotherapy– have emerged in recent years but lack consensual guidelines. We present a literature review of the recent results published in this field.