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1 Department of Surgery, University of California School of Medicine, San Francisco, California
In addition to bronchial and mediastinal involvement by a carcinoma arising in the left lung in a 78-year-old man, lymphatic invasion of the subcutaneous tissues of the neck was extensive. Malignant cells were also present intradermally, thereby producing a pagetoid type of cellular dissemination similar to that seen in true Paget's disease of extramammary origin.
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