Paget's disease of the breast history and symptoms: Difference between revisions

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==Overview==
==Overview==
==History and symptoms==
==History and symptoms==
Paget's disease of the breast can affect the [[nipple]] and [[areola]]. Symptoms typically only affect one breast. Symptoms may include:
The symptoms of Paget disease of the breast are often mistaken for those of some benign skin conditions, such as dermatitis or eczema (1–3). These symptoms may include the following:
* ''Skin:'' The first symptom is usually an [[eczema]]-like rash. The skin of the nipple and areola may be red, itchy and inflamed.<ref name=MC2012>{{cite journal|last=Marques-Costa|first=JC|author2=Cuzzi, T |author3=Carneiro, S |author4=Parish, LC |author5= Ramos-e-Silva, M |title=Paget's disease of the breast.|journal=Skinmed|date=May–Jun 2012|volume=10|issue=3|pages=160–5|pmid=22779098}}</ref> After a period of time, the skin may become flaky or scaly.
•Itching, tingling, or redness in the nipple and/or areola
* ''Discharge:'' A discharge, which may be straw-colored or bloody, may ooze from the area.
•Flaking, crusty, or thickened skin on or around the nipple
* ''Sensation:'' Some women have a burning sensation.  These symptoms usually occur in more advanced stages, when serious destruction of the skin often prompts the patient to consult. Lumps or masses in the breast occur in 50% of the patients.<ref name="Mednet">{{cite web|url=http://www.medicinenet.com/pagets_disease_of_the_nipple/article.htm |title=Paget's Disease of The Nipple |accessdate=2010-04-05}}</ref> In more advanced stages, the disease may cause tingling, increased [[Sensitivity (human)|sensitivity]] and pain.<ref name="NCI">{{cite web|url=http://www.cancer.gov/cancertopics/factsheet/sites-types/paget-breast|title=Paget Disease of the Nipple: Questions and Answers
•A flattened nipple
|accessdate=2010-04-05}}</ref>
•Discharge from the nipple that may be yellowish or bloody
* Nipple changes: The nipple may turn inwards (be [[Inverted nipple|inverted]]).
* Breast changes: There may or may not be a lump in the breast, and there may be redness, oozing and crusting, and a sore that does not heal.


The symptoms usually affect the nipple and then spread to the areola and then the breast. It is common for the symptoms to wax and wane.
Because the early symptoms of Paget disease of the breast may suggest a benign skin condition, and because the disease is rare, it may be misdiagnosed at first. People with Paget disease of the breast have often had symptoms for several months before being correctly diagnosed.
 
Most women do not visit the doctor because they assume Paget's disease to be minor contact dermatitis or eczema.<ref>{{cite web|url=http://www.breastpagetsdisease.com/|title=Breast Pagets Disease|accessdate=2010-04-05}}</ref> A lump or skin irritation that does not seem to heal for over a month indicates that attention by a specialist is needed.


==References==
==References==

Revision as of 14:34, 11 January 2016

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Overview

History and symptoms

The symptoms of Paget disease of the breast are often mistaken for those of some benign skin conditions, such as dermatitis or eczema (1–3). These symptoms may include the following: •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

Because the early symptoms of Paget disease of the breast may suggest a benign skin condition, and because the disease is rare, it may be misdiagnosed at first. People with Paget disease of the breast have often had symptoms for several months before being correctly diagnosed.

References


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