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*It is essential that the sample contains part of the lactiferous duct and if the areola is affected, it also needs to be represented in the sample to confirm the diagnosis.
*It is essential that the sample contains part of the lactiferous duct and if the areola is affected, it also needs to be represented in the sample to confirm the diagnosis.
*Often histological exams are inconclusive and more biopsies, or even surgical removal of the entire nipple may be required.
*Often histological exams are inconclusive and more biopsies, or even surgical removal of the entire nipple may be required.
*The main histological characteristic is the presence of Paget cells, which are arranged in solid groups.
*On occasion, they form glandular arrangements outlining the basal epidermis and exhibit migration to the granular layer, similarly to melanocytes.


To view histopathologic characteristic features of Paget's disease of the breast, click [[Paget's disease of the breast pathophysiology|'''here''']].
To view histopathologic characteristic features of Paget's disease of the breast, click [[Paget's disease of the breast pathophysiology|'''here''']].

Revision as of 15:55, 18 January 2016

Paget's disease of the breast Microchapters

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Overview

Historical Perspective

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Differentiating Paget's disease of the breast from other Diseases

Epidemiology and Demographics

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Diagnosis

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Physical Examination

Biopsy

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

Overview

Biopsy is diagnostic of Paget's disease of the breast.

Biopsy

  • Biopsy is diagnostic of Paget's disease of the breast.
  • Biopsy can be performed by shaving, punch or incisional techniques, the latter being the most appropriate one.
  • It is essential that the sample contains part of the lactiferous duct and if the areola is affected, it also needs to be represented in the sample to confirm the diagnosis.
  • Often histological exams are inconclusive and more biopsies, or even surgical removal of the entire nipple may be required.
  • The main histological characteristic is the presence of Paget cells, which are arranged in solid groups.
  • On occasion, they form glandular arrangements outlining the basal epidermis and exhibit migration to the granular layer, similarly to melanocytes.

To view histopathologic characteristic features of Paget's disease of the breast, click here.

References


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