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 Colleen Young, Connect Director @colleenyoung

Welcome, @lrcg. If getting a second opinion at Mayo Clinic is an option for you, here is the link to get started: http://mayocl.in/1mtmR63

How was your checkup? What did you learn?

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Thank you I will follow up. My appointment went okay. No new Pagets yet.... But my questions were unanswerable because the UW doesn't seem to know anything. I asked about treatments or hospitals or such that are studying Pagets and the PA just looked at the ceiling I told her I feel so alone. She lost it and said "do you want a second option"? I said yes so now I am going to head to Swedish Hospital. Next will be Mayo.
I am also seeing an ND that is helping with general cancer treatments with supplement's and dietary things. It has been helpful and hopefully is why I haven't had a reoccurrence. It is better than waiting for it to come back.

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Profile picture for lrcg @lrcg

I had surgery last December 22,2022 for Pagets of the vulva. I believe I have probably had it for 5-7 years prior and didn't know it and my Gyn didn't catch it. I had an itchy spot but it was intermittent then Covid happened and my Gyn retired and I was at a loss for where to go. Finally found a new Gyn and remembered to tell her about the itch. After a biopsy it was confirmed. That's when the whirlwind started. I have had one check up in June 2023 and go tomorrow for my second check up. I am pretty sure I have it in another area but really don't want another surgery it was awful. I am thinking of a second opinion or the cream, I am open to anyone's thoughts I have felt so alone. I will post about my appointment but I think I have lost confidence in the current Dr.

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Welcome, @lrcg. If getting a second opinion at Mayo Clinic is an option for you, here is the link to get started: http://mayocl.in/1mtmR63

How was your checkup? What did you learn?

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Is it possible for you to see a gynecologic oncologist? Get a referral from your current gynecologist? My regular gynecologist did the initial biopsy. When it came back as Paget’s, he referred me.
There is no harm in seeking a second opinion.

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I had surgery last December 22,2022 for Pagets of the vulva. I believe I have probably had it for 5-7 years prior and didn't know it and my Gyn didn't catch it. I had an itchy spot but it was intermittent then Covid happened and my Gyn retired and I was at a loss for where to go. Finally found a new Gyn and remembered to tell her about the itch. After a biopsy it was confirmed. That's when the whirlwind started. I have had one check up in June 2023 and go tomorrow for my second check up. I am pretty sure I have it in another area but really don't want another surgery it was awful. I am thinking of a second opinion or the cream, I am open to anyone's thoughts I have felt so alone. I will post about my appointment but I think I have lost confidence in the current Dr.

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Profile picture for chaka67 @chaka67

So glad to hear the positive outcome. I hope you have many years to enjoy life before you need further treatment. I believe the 3 month monitoring is the norm & will help you to "catch" any further developments while you still can control the progress of Paget's.
As I have reported, I have had 6 surgeries, and as miserable as it is to have the surgery, I have survived 10 years thanks to this early detection & prevention.
Good luck

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Thank you! Your comment gives me hope.
Good luck to you as well.

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Profile picture for juju67 @juju67

Good news, bad news from my oncologist. The lymph nodes that were removed showed cancer but only at the microscopic level. All the margins tested negative so by doing a radical vulvectomy they removed all the cancer cells in/on the vulva. Due to these findings, I will not have to have radiation at this time. Yay! However, it could reappear in the future. The doctor said I will have to be monitored every three months going forward.

The healing is going well. Still having some pain/discomfort when sitting for a while. Still am not able to lift over 5 pounds or do any strenuous activities. Trying to get my energy level back up to where it was. Finding I need a nap every day now.

I have an appointment in December for a follow up with the oncologist.

Hope you ladies are doing well.

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So glad to hear the positive outcome. I hope you have many years to enjoy life before you need further treatment. I believe the 3 month monitoring is the norm & will help you to "catch" any further developments while you still can control the progress of Paget's.
As I have reported, I have had 6 surgeries, and as miserable as it is to have the surgery, I have survived 10 years thanks to this early detection & prevention.
Good luck

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Good news, bad news from my oncologist. The lymph nodes that were removed showed cancer but only at the microscopic level. All the margins tested negative so by doing a radical vulvectomy they removed all the cancer cells in/on the vulva. Due to these findings, I will not have to have radiation at this time. Yay! However, it could reappear in the future. The doctor said I will have to be monitored every three months going forward.

The healing is going well. Still having some pain/discomfort when sitting for a while. Still am not able to lift over 5 pounds or do any strenuous activities. Trying to get my energy level back up to where it was. Finding I need a nap every day now.

I have an appointment in December for a follow up with the oncologist.

Hope you ladies are doing well.

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Profile picture for juju67 @juju67

Such a beautiful cat! The flowers are gorgeous! I will be happy when I can garden again.
Thank you for your thoughts and prayers.

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Her name is Luna - I misspelled. 😉 She was so sweet and gentle and loving. Totally laid back. Which I should be mor often 😉

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Such a beautiful cat! The flowers are gorgeous! I will be happy when I can garden again.
Thank you for your thoughts and prayers.

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Profile picture for juju67 @juju67

I had an appointment with my gynecologic oncologist yesterday. Unfortunately, the incision at the base of the vagina has opened up. It happens in 40 percent of this type of surgeries. He removed a few internal stitches as he said they are very hard on the surrounding skin and tend to cause more problems. I’m having quite a bit of pain now, which he told me I would. So not sitting for long. Laying in bed, letting the healing take place.

Radiation will not take place until all incisions are healed. The drains and lymph node sites are almost healed. Doctor said he would estimate about 2 months before radiation could start. It will be approximately 5 days a week for 6 weeks once it starts. Still no pathology results from the lymph nodes as the radiologist my doctor uses has been unavailable for 2 weeks.

Now it is all about healing. I feel like I took two steps forward and one step backward this last week. I was feeling good and then the incision broke open! This too shall pass in time.

The weather here in Michigan has been beautiful this week! Seems more summer like than autumn. I have been enjoying it immensely.

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Thinking of you and praying for you for healing. It's so hard. At least we are no longer alone with this. This kitty, Lunda, is the 'owner' of a country store in small town Quebec. So laid back and lovely. And bees were busy on Michaelmas daisies.

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