Has anyone had Paget's disease of the vulva?

Posted by chaka67 @chaka67, Apr 18, 2023

I am about to have my 6th vulva surgery for Paget's of the vulva in less than 10 years. That means for about a month after surgery I cannot drive, sit or walk, & I am the my husband's caregiver.
I also had a mastectomy 10 years ago, but was told they were unrelated. Also unrelated is any support for Paget's disease. They have marches for breast cancer. Yet I have never met someone with Paget's. Even this message box underlines the word Paget's as if I am misspelling the word!!

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

Profile picture for bouf1948 @bouf1948

@foster14 did you spend the night in the hospital?

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@bouf1948
No was only in the hospital about 5 hrs start to finish. That include the 2 hrs to get signed in and having an iv put in. Since it is hard to find veins in my arm they put it in my hand. Worked great! You can ask them to numb it with lidocaine and you barely feel it.

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Profile picture for foster14 @foster14

@bouf1948
No was only in the hospital about 5 hrs start to finish. That include the 2 hrs to get signed in and having an iv put in. Since it is hard to find veins in my arm they put it in my hand. Worked great! You can ask them to numb it with lidocaine and you barely feel it.

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@foster14 thank you! That’s the best news I’ve heard all day! So, do you go in every so often to see if it’s come back? You’ve had how many surgeries? Did you have stitches - did you have trouble getting around?

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Profile picture for foster14 @foster14

@bouf1948
No was only in the hospital about 5 hrs start to finish. That include the 2 hrs to get signed in and having an iv put in. Since it is hard to find veins in my arm they put it in my hand. Worked great! You can ask them to numb it with lidocaine and you barely feel it.

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@foster14 what about the lady that said she couldn’t walk, sit or drive for 4 weeks? That wasn’t true for you?

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Profile picture for Helen, Volunteer Mentor @naturegirl5

@bouf1948 Hello, Carole Ann and welcome to Mayo Clinic Connect and to our Gynecological Cancers support group. It looks like you've already received some good information from @foster14 and @ameliae. You've come to a good place to read about the experiences of others and to get support. You likely noticed that this particular discussion is quite long as it's an ongoing and active discussion with information from others including their own experiences.

It's good that a biopsy was done and so now you have better idea of what's happening. Do you know what your physician plans for the surgery they recommend? Some of the questions you've asked could be answered in a consulting appointment with your doctor. Also, if you are on the fence about surgery or type of surgery have you thought about getting another opinion from a different doctor? Getting another opinion is very common and many of us have done just that.

What other questions do you have?

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@naturegirl5 I’m having surgery Monday 3/2 at 7:30 am to remove the cancer to a margin where it comes back no cancer. I’m kind of scared because I don’t know how invasive it is and the doctors don’t either at this point. I’ll spend the night in the hospital and then decide if I want/need to spend some time at my cousin’s house. I don’t know what to expect after surgery. One lady on here said she couldn’t function well for four weeks. The doctor estimated I’d have 30 stitches. Can anyone tell me if they’ve had similar circumstances.

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Profile picture for janeellenmc @janeellenmc

Good to hear because I went to MD Anderson after dx in Dec, 22. I have ussed Imiquimod since then and as you said the itching and burning was difficult. I now have a couple of new lesions and my Oncologist just did 5 bx under general...deep and stitches. I am 5 days post and am waiting for bx results and further information. MD said surgery can be done but does not cure. I just read someone did radiation and it sounds horrible. I am in a pool of rare cancers there but no research at this time. When I first read about this they said the cause is really unknown but read someone said HPV driven, Nope...but they did do CATS, tested for it, colonoscopy, etc. All were negative except for the bx. I appreciate hearing your story. All information helps even if we don't want to hear it!!!

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@janeellenmc I’m having surgery Monday for Extramammary Paget’s for the first time. How are you doing. Have you had to have more surgeries? How hard was the recovery period for you? How did you sit? Did you shower every day? I live alone and I don’t know how I will be able to function.

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Profile picture for bouf1948 @bouf1948

@naturegirl5 I’m having surgery Monday 3/2 at 7:30 am to remove the cancer to a margin where it comes back no cancer. I’m kind of scared because I don’t know how invasive it is and the doctors don’t either at this point. I’ll spend the night in the hospital and then decide if I want/need to spend some time at my cousin’s house. I don’t know what to expect after surgery. One lady on here said she couldn’t function well for four weeks. The doctor estimated I’d have 30 stitches. Can anyone tell me if they’ve had similar circumstances.

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@bouf1948 I can imagine how frightening this is for you. You and your doctors cannot know the outcome of the surgery ahead of time. For any of us, that unknown is what drives the fear and anxiety. I've had so many times over the years that my anticipatory fear and anxiety has made it difficult for me to function. I'd like to say this has become a little better over time as I've learned some coping skills to get through these periods particularly as it concerns my health and cancer.

We have a tendency to leap to the worst conclusion for ourselves. For me, it was, what if my cancer comes back again? What if it's spread? What if I become frail and sick during treatment like happened with both of my parents? All of these "what ifs" get my fears to spiral out of control. So here is another "what if". What if none of these things happen? What if I continue to live my life day to day and do the things that are meaningful for me? What if your surgery goes smoothly and your surgeon tells you that the margins look very good? What if your recovery is smooth, and you take that time for yourself to practice the care that your doctors recommend?

Can you challenge your own thoughts on this? One of my favorite sayings is "Don't believe everything I think". If there is no factual evidence for my thoughts perhaps these are my thoughts and not the reality.

Your plans to spend some time with your cousin at their house sounds good. Since you live on your own perhaps the company of your cousin while you recover from surgery will be something to look forward to.

I will be thinking of you on Monday, 3/2 during your surgery and your recovery. I wish for you compassionate care from your surgical and recovery team.

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I have had 2 surgeries for Paget’s of the vulva. After the first one I found that I could sit comfortably on a larger throw pillow that was about 2-3 inches thick on top of my recliner seat. I could walk without issues. The second surgery was in an area that I don’t sit upon normally so sitting was no problem. Just 10 days ago I was diagnosed again with 2 new areas of Paget’s, one at the top of the area perviously opérated on that the other at the bottom of the area previously operated on.

My Dr spoke of a new/off label use for Paget’s that has been recently shown promise. Have any of you used it and how did it help you?

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Profile picture for foster14 @foster14

@bouf1948
No was only in the hospital about 5 hrs start to finish. That include the 2 hrs to get signed in and having an iv put in. Since it is hard to find veins in my arm they put it in my hand. Worked great! You can ask them to numb it with lidocaine and you barely feel it.

Jump to this post

@foster14 this was a very painful surgery - not like yours. I was operated on Monday at 7:30 am, and I spent two nights in the hospital. I came home today. I don’t feel I was ready to come home. I am having trouble sitting and getting up. I had a left side vulvectomy with laser back to the anus. I need a shower, but I don’t dare attempt that alone. Home health care is coming tomorrow. If it comes back, I’m wondering if it will be as painful next time.

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Profile picture for boomerotr @boomerotr

I have had 2 surgeries for Paget’s of the vulva. After the first one I found that I could sit comfortably on a larger throw pillow that was about 2-3 inches thick on top of my recliner seat. I could walk without issues. The second surgery was in an area that I don’t sit upon normally so sitting was no problem. Just 10 days ago I was diagnosed again with 2 new areas of Paget’s, one at the top of the area perviously opérated on that the other at the bottom of the area previously operated on.

My Dr spoke of a new/off label use for Paget’s that has been recently shown promise. Have any of you used it and how did it help you?

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@boomerotr cream? My doctor said we may have to use cream in the future

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Profile picture for bouf1948 @bouf1948

@foster14 this was a very painful surgery - not like yours. I was operated on Monday at 7:30 am, and I spent two nights in the hospital. I came home today. I don’t feel I was ready to come home. I am having trouble sitting and getting up. I had a left side vulvectomy with laser back to the anus. I need a shower, but I don’t dare attempt that alone. Home health care is coming tomorrow. If it comes back, I’m wondering if it will be as painful next time.

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@bouf1948 What supplies and information were sent home with you so that you can recover more comfortably from the surgery? Perhaps the home health nurse will have suggestions for you?

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