Hello @amapola1987 and welcome to Mayo Connect. It sounds as if you have been dealing with extramammary Paget's for some time now and I can understand that you are looking for some other treatment options.

You do not say where you reside, so I don't know what country (or countries) might be near you. However, please know that Mayo Clinic does see international patients. Here is a link to appointment information, http://mayocl.in/1mtmR63.

Here is some information from Cleveland Clinic in the U.S. about this disorder and what treatments are offered at Cleveland Clinic,
https://my.clevelandclinic.org/health/diseases/24266-extramammary-pagets-disease
From reading the article from Cleveland Clinic, I see that this can be primary or secondary Paget's Disease. Do you know if yours is primary or secondary (from another type of cancer)?