{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T05:01:07Z","timestamp":1770354067057,"version":"3.49.0"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"13","license":[{"start":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T00:00:00Z","timestamp":1664150400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,26]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The foci of distant metastasis from extramammary Paget\u2019s disease (EMPD) are the lung, liver, truncal bones, vertebrae, and brain. However, skull metastases have not been reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors treated a patient with calvarial and skull base metastases from EMPD who had undergone wide local resection of EMPD 8 years before, and they report his clinical course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Because EMPD with distant metastasis is fatal, it should be recognized that EMPD can metastasize to the skull even when it seemed to be in remission for several years.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case22280","type":"journal-article","created":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T10:32:16Z","timestamp":1664188336000},"source":"Crossref","is-referenced-by-count":1,"title":["Skull metastases from extramammary Paget\u2019s disease emerging 8 years after initial treatment with no local progression: illustrative case"],"prefix":"10.3171","volume":"4","author":[{"given":"Taku","family":"Inada","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Nakakuki","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norio","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidenori","family":"Miyake","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinsuke","family":"Shibuya","sequence":"additional","affiliation":[{"name":"Diagnostic Pathology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Radiation Oncology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makiko","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Dermatology, Kyoto Katsura Hospital, Kyoto City, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"3","key":"b1","series-title":"J Dermatol Sci","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1016\/j.jdermsci.2016.06.004","article-title":"A proposal for a TNM staging system for extramammary Paget disease: retrospective analysis of 301 patients with invasive primary tumors","volume":"83","author":"Ohara K","year":"2016","unstructured":"Ohara K, Fujisawa Y, Yoshino K,  A proposal for a TNM staging system for extramammary Paget disease: retrospective analysis of 301 patients with invasive primary tumors. 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