TNM staging system for iEMPD has not yet been established.
To establish TNM staging system, we retrospectively collected 301 patients with invasive extramammary Paget’s disease.
51 had distant metastasis and 112 had LN metastasis at diagnosis.
Distant metastasis, 2 or more lymph node metastases, lymphovascular invasion and tumor thickness over 4 mm correlated with worse survival.
We propose a TNM staging system for EMPD using simple factors for classification (distant metastasis, LN metastasis and local tumor status).
Each stage had a statistically distinct survival curve.