{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T11:20:57Z","timestamp":1778498457316,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,9,7]],"date-time":"2020-09-07T00:00:00Z","timestamp":1599436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Cutan Pathol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pigmented extramammary Paget disease (PEMPD) is a rare intraepithelial carcinoma which can clinically resemble other pigmented neoplasms. Similarities to melanoma on dermoscopy, histopathology, and reflectance confocal microscopy (RCM) increase the risk of misdiagnosis and, consequently, mismanagement. Here, we describe a case of a 67\u2010year\u2010old African American woman with a large, pigmented axillary patch that exhibited features of melanoma on RCM, guiding the clinician to perform an excisional biopsy. While traditional histopathology resembled melanoma, immunohistochemistry staining was performed and revealed PEMPD. We highlight an uncommon clinical presentation of PEMPD disease and identify morphologic mimickers of melanoma on RCM\u2014as well as differentiating features.<\/jats:p>","DOI":"10.1111\/cup.13804","type":"journal-article","created":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T11:10:26Z","timestamp":1594293026000},"page":"1170-1174","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Atypical cells on reflectance confocal microscopy may not represent melanoma: A case of axillary pigmented extramammary Paget disease"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7079-3718","authenticated-orcid":false,"given":"Nadiya","family":"Chuchvara","sequence":"first","affiliation":[{"name":"Center for Dermatology Rutgers Robert Wood Johnson Medical School  Somerset NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Reilly","sequence":"additional","affiliation":[{"name":"Center for Dermatology Rutgers Robert Wood Johnson Medical School  Somerset NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attiya","family":"Haroon","sequence":"additional","affiliation":[{"name":"Center for Dermatology Rutgers Robert Wood Johnson Medical School  Somerset NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy","family":"Wassef","sequence":"additional","affiliation":[{"name":"Center for Dermatology Rutgers Robert Wood Johnson Medical School  Somerset NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amin","family":"Maghari","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine Rutgers Robert Wood Johnson Medical School  New Brunswick NJ USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Babar","family":"Rao","sequence":"additional","affiliation":[{"name":"Center for Dermatology Rutgers Robert Wood Johnson Medical School  Somerset NJ USA"},{"name":"Department of Dermatology Weill Cornell Medicine  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,7]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.2000.03547.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2011.11.947"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cup.12333"},{"issue":"1","key":"e_1_2_5_5_1","doi-asserted-by":"crossref","first-page":"e23","DOI":"10.5858\/2004-128-e23-PQC","article-title":"Pathologic quiz case: a 63\u2010year\u2010old woman with a pigmented perineal lesion. 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