An extremity is a vertex such that the removal of its closed neighbourhood does not increase the number of connected components. Let $Ext_α$ be the class of all connected graphs whose quotient graph obtained from modular decomposition contains no more than $α$ pairwise nonadjacent extremities. Our main contributions are as follows. First, we prove that the diameter of every $m$-edge graph in $Ext_α$ can be computed in deterministic ${\cal O}(α^3 m^{3/2})$ time. We then improve the runtime to linear for all graphs with bounded clique-number. Furthermore, we can compute an additive $+1$-approximation of all vertex eccentricities in deterministic ${\cal O}(α^2 m)$ time. This is in sharp contrast with general $m$-edge graphs for which, under the Strong Exponential Time Hypothesis (SETH), one cannot compute the diameter in ${\cal O}(m^{2-ε})$ time for any $ε> 0$. As important special cases of our main result, we derive an ${\cal O}(m^{3/2})$-time algorithm for exact diameter computation within dominating pair graphs of diameter at least six, and an ${\cal O}(k^3m^{3/2})$-time algorithm for this problem on graphs of asteroidal number at most $k$. We end up presenting an improved algorithm for chordal graphs of bounded asteroidal number, and a partial extension of our results to the larger class of all graphs with a dominating target of bounded cardinality. Our time upper bounds in the paper are shown to be essentially optimal under plausible complexity assumptions.