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Figure 1: (a) An erythematous plaque in the left anal region (case 1). (b) Proliferation of Paget's cells within the epidermis (H and E, ×200). (c) Use of an anal retractor device with elastic stays at the time of surgery. (d) The lesion after excision. (e) Reconstruction with a split-thickness skin graft

Figure 1: (a) An erythematous plaque in the left anal region (case 1). (b) Proliferation of Paget's cells within the epidermis (H and E, ×200). (c) Use of an anal retractor device with elastic stays at the time of surgery. (d) The lesion after excision. (e) Reconstruction with a split-thickness skin graft