Extramammary Paget's Disease

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Hi all. Got told this week that I have EMPD on my vulva. CT scan to be arranged to check if it's spread. I've had a raised patch for 2 years, didn't respond to creams, but wasn't really causing any issues and in the meantime has dermoid cyst on ovary and total abdominal hysterectomy. The dermoid turned out not to be cancerous,  but it looks like we were more concerned about the wrong thing, but didn't know that at the time.Worried about what ttheCT scan will show up as if it's spread, from what I've been reading online, then it doesn't sound like treatment is very effective. Initial plan is wide excision (on the assumption it hasn't spread elsewhere).