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To the Editor:—
The paper by Greeley and Curtin, "Extramammary Paget's Disease" (J. A. M. A.155:1054 [July 17] 1954), serves the meritorious purpose of calling an often unsuspected entity to the attention of the profession at large. However, the authors' peremptory statement that theirs is the 28th proved case of this disease and their pathogenetic conclusions should not go unchallenged, because the wide distribution and the authority of The Journal lend weight to any statement printed in its pages. A probably far from complete survey of the literature since 1937 reveals 22 published cases of extramammary Paget's disease, or 10 more than those listed by Greeley and Curtin. This would make their case the 38th published case if one follows Weiner's evaluation of older reports. Cases of extramammary Paget's disease not listed by Greeley and Curtin (in addition to the case of Pinkus and Gould) are reported in
Pinkus H. EXTRAMAMMARY PAGET'S DISEASE. JAMA. 1954;156(7):736. doi:10.1001/jama.1954.02950070064019