Paget's disease of the nipple


  • Associated with intraduct carcinoma
  • Red, eczematous lesion of nipple
  • may be palpable mass

Differential diagnosis

  • Eczema of the nipple
    • usually bilateral
    • itchy
    • does not destroy nipple

Pathology

  • large pleomorphic cells
    • hyperchromatic nuclei
    • pale cytoplasm

Investigation

  • Mammography
  • Biopsy

Treatment

  • Simple mastectomy
 

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