Paget disease of the breast, also known as Paget's disease of the nipple, is a rare type of breast cancer involving the skin of the nipple and the areola (pigmented area on the breast around the nipple). Paget disease usually affects only one breast.
1. The skin of the nipple and areola often looks crusted, scaly, and red. There may be blood or yellow fluid coming out of the nipple.
2. Sometimes, the nipple looks flat or inverted and might also burn or itch.
The doctor might try to treat this as eczema first, and if it does not improve, recommend a biopsy.
1. Paget disease of the breast can be treated by removing the entire breast (mastectomy) or Breast-Conserving Surgery (BCS) followed by whole-breast radiation therapy.
2. If BCS is done, the entire nipple, and areola area also need to be removed. If invasive cancer is found, the lymph nodes under the arm will be checked for cancer.
3. If no lump is felt in the breast tissue, and your biopsy results show cancer has not spread within the breast tissue, the outlook (prognosis) is excellent.
4. If cancer has spread within the breast tissue (is invasive), the outlook is not as good, and cancer will be staged and treated like any other invasive ductal carcinoma.
Itching, tingling, or redness in the nipple and/or areola,Flaking, crusty, or thickened skin on or around the nipple,A flattened nipple,Discharge from the nipple that may be yellowish or bloody
A red, scaly rash on the skin of the nipple and areola,Initial findings often include itching (pruritus), scaling, and crusting of and/or discharge from the nipple
Surgical removal of breast tissue, adjacent lymph nodes, underlying muscles of the upper chest wall and other tissues (modified radical or radical mastectomy)