Poorly differentiated high-grade urothelial carcinoma presen
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There are few reported cases of secondary (non-cutaneous) vulvar Paget's disease related to urothelial carcinoma (UC), with only 7 of them presenting initially with Paget's disease and up to a 13-year lapse from detecting a urinary tract neoplasm after the onset of symptoms. This is a case of Paget's disease of urothelial origin with no urinary tract neoplasm detected on initial presentation....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357689/
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