The typical Mohs technique for EMPD
is to delineate a tumor-free area peripherally, and then excise the central tumor and tumor-bearing islands.
32,33) Thus far, CDX2 reactivity has only been reported in EMPD
secondary to anorectal adenocarcinoma.
In cases of longstanding and persistent forms of the condition, an attempt should be made to rule out EMPD
Although the clinical and histological features of mammary Paget's disease are well established, the source of neoplastic cells in EMPD remains controversial.
EMPD often presents as a well-defined, moist, erythematous, scaly, eczematous patch with hypo- or hyperpigmentation.
6 EMPD cells themselves have the potential to invade the dermis and metastasize.
Not infrequently, vulvar syringoma was seemingly an incidental finding (41%; 12 of 29 cases) and was a secondary diagnosis in 4 cases of melanocytic nevi (3 atypical, 1 congenital) (Figure 5), 4 cases of lichen sclerosus (Figure 6), 3 cases of lichen simplex chronicus, as well as single cases of squamous cell carcinoma, EMPD, condyloma, seborrheic keratosis, lymphangioma, and epidermoid cyst.
Primary EMPD can be either an intraepithelial neoplasm with or without an associated invasive component or a manifestation of an underlying primary adenocarcinoma.
Forty-nine cases of EMPD were identified in this review (87.
Moisture Properties Coefficients Interior EMPD
A B C D Construction Value Gypsum wall 0.
All these approaches, from EMPD to CFD, are complementary, and are of interest in HAM simulations of buildings.
The EMPD model is a simplified lumped approach to simulate surface moisture adsorption and desorption (Kerestecioglu et al.