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A very low level of knowledge of systemic photoprotection was identified among skin cancer patients. A very low level of knowledge of systemic photoprotection was identified among skin cancer patients. The microbiome plays an important role in the tumour microenvironment (TME). In this study, we investigated the clinical significance of the microbiota in extramammary Paget's disease (EMPD). Patients with EMPD, treated between March 2007 and September 2019 at Kumamoto University Hospital, were investigated retrospectively. Inclusion criter