Paget's disease of the breast history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Paget's disease of the breast, also known as Paget's disease of the nipple, is a condition that outwardly may have the appearance of eczema - with skin changes involving the nipple of the breast. Because of its seemingly innocuous and surface appearance, it often presents late, but it is a condition that may be fatal.

Extramammary Paget's disease (EMPD) has the same histologic features as Paget's disease of the breast but different locations.

History and symptoms

Usually only affecting one nipple, The first symptom is usually an eczema-like rash. The skin of the nipple and areola may be red and inflamed. Some women have an itching or burning sensation. Fluid (discharge) may leak from the abnormal area of cells. The nipple may turn inwards (be inverted). There may or may not be a lump in the breast there may be redness, oozing and crusting, and a sore that does not heal.

Early signs of Paget's disease of the breast does make the patient's attention. As the tumor grows, people may notice one or more of the following symptoms:

  • Redness and flaking of the nipple skin
  • Nipple flattened against the breast
  • A lump or mass in the breast

Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that the problems can be diagnosed and treated as early as possible.

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