WHAT TYPE OF DOCTOR TREATS EXTRAMAMMARY PAGET'S DISEASE (EMPD)?

Extramammary Paget’s disease (EMPD) is a rare form of skin cancer that primarily affects areas with a high density of sweat glands, such as the genital region, perianal area, or armpits. EMPD is often classified into two types: primary EMPD, which originates in the skin’s epidermis, and secondary EMPD, which arises due to an underlying malignancy extending into the skin from another location. The depth of invasion determines the treatment approach—some cases remain confined to the epidermis (non-invasive), while others penetrate deeper into the dermis or underlying tissues (invasive), requiring more aggressive management.

Because EMPD is uncommon and can mimic other skin conditions, it often requires a team of medical specialists for proper diagnosis and treatment. The approach to treating EMPD varies widely between countries and regions, depending on local medical guidelines, available therapies, and specialist expertise. There are no international standards for treating EMPD, which can lead to differences in diagnosis, treatment protocols, and access to specialized care. Below are the key doctors who may be involved in managing EMPD. Click on the medical specialties to narrow your search:

Dermatologist

A dermatologist is a doctor who specializes in diagnosing and treating skin diseases. Since EMPD often appears as a persistent rash or irritation, a dermatologist is often the first to recognize its unusual nature. They may perform a biopsy to confirm the diagnosis and recommend treatment options, including topicals or surgery among other options. If the disease is extensive or invasive, they may refer patients to oncologists or surgeons for further management. Search List of Dermatologists →

Gynecologist

A gynecologist is a doctor who focuses on the female reproductive system. Since EMPD frequently occurs in the vulvar region, gynecologists are often involved in diagnosing and managing the disease in women. They may perform biopsies, assess for underlying malignancies, and coordinate with oncologists or surgeons if more advanced treatment is necessary. Search List of Gynecologists →

Oncologist

An oncologist is a doctor who specializes in treating cancer. Because EMPD is a form of skin cancer, oncologists may be involved in cases where the disease is invasive or has spread. A medical oncologist administers therapeutics such as chemotherapy, targeted therapy, or immunotherapy if EMPD has metastasized. A gynecologic oncologist may treat EMPD affecting the vulvar area, while a surgical oncologist may perform tumor-removal surgeries. Search List of Oncologists →

Pathologist

A pathologist is a doctor who studies cells and tissues to diagnose diseases. EMPD is often confirmed by a dermatopathologist, a specialist trained in both dermatology and pathology. These doctors analyze biopsy samples under a microscope to determine whether EMPD is non-invasive or invasive, which helps guide treatment decisions. Search List of Pathologists →

Radiologist

A radiologist is a doctor who specializes in medical imaging to diagnose and monitor diseases. In EMPD cases, radiologists use MRI, CT scans, PET scans, and ultrasound to evaluate the extent of the disease and check for potential spread to lymph nodes or other organs. Some radiologists specialize in radiation oncology, using radiotherapy as a treatment option for EMPD when surgery is not viable or when additional therapy is needed to control the disease. Search List of Radiologists →

Surgeon

A surgeon is a doctor trained to perform surgical procedures, and various types of surgeons may be involved in EMPD treatment:

• Mohs micrographic surgeons perform precise, layer-by-layer removal of EMPD tissue, minimizing damage to surrounding healthy skin.

• Colorectal surgeons treat cases affecting the perianal region.

• Plastic surgeons reconstruct areas where extensive skin removal was necessary.

• Reconstructive urologist surgeons manage cases involving the genital or urinary system. Search List of Surgeons →

Urologist

A urologist is a doctor who diagnoses and treats diseases of the urinary tract in both men and women, as well as conditions affecting the male reproductive system. Since EMPD can affect the genital and perineal areas, genitourinary surgeons and reconstructive urologists are often key players in treatment, particularly if surgery is required. Search List of Urologists →

Finding the Right Doctor for EMPD

The physicians featured on this website have been suggested by EMPD patients and have reported experience in treating EMPD or related conditions. Because the availability of specialists and treatment options can vary by region and country, choosing the right doctor may depend on your location and access to specialized care. Many EMPD patients find that institutions dedicated to cancer research or affiliated with leading medical schools offer the most advanced expertise in managing the disease. Consulting a specialist with extensive experience in EMPD can improve diagnostic accuracy and ensure a personalized treatment plan that aligns with the latest medical advancements and best practices. Full List of doctors who treat EMPD. →

Female EMPD patients in the United Kingdom may want to review clinic information shared by the British Society for the Study of Vulval Disease (BSSVD). This society is composed of experts in gynecology, dermatology, genitourinary medicine, and pathology, some of whom may be familiar with diagnosing and treating EMPD. A list of UK clinics can be found here.

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The physicians listed on this website have been suggested by EMPD patients. The lists are not endorsements and no inducements have been made for doctors to appear here. Physicians may opt-out of this list by contacting myEMPD.

The content on this website, including text and visual materials, is intended to raise awareness of extramammary Paget’s disease (EMPD) and help individuals understand its complexities. However, it is not a substitute for professional medical advice, diagnosis, or treatment, nor does it endorse any specific treatments, tests, physicians, procedures, or products. If you suspect symptoms of EMPD, we encourage you to consult a qualified healthcare provider for proper evaluation and guidance.