In this paper, we apply Hirota bilinear method and determinant technique to derive the Nth-order rational solution expressed compactly in terms of Matsuno determinants for the variable-coefficient extended modified Kadomtsev-Petviashvili (mKP) equation. As a special case, we obtain the M-lump solution expressed in terms of 2M × 2M determinants for the mKPI equation and investigate the dynamical behaviors of 1- and 2-lump solutions. Furthermore, we present the Wronskian and Grammian solution for the variable-coefficient extended mKP equation. Based on the Grammian solution, we construct the line soliton, the line breather and the semi-rational solution on constant and periodic backgrounds for the mKPI equation. Through the asymptotic analysis, we show that the semi-rational solutions describe the fission and fusion of lumps and line solitons. In addition, we construct the variable-coefficient extended mKP equation with self-consistent sources via the source generation procedure and derive its N-soliton solution in the compact form of Grammian and Wronskian.