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

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==Overview==
==Overview==
==History and symptoms==
==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.
Paget's disease of the breast can affect the [[nipple]] and [[areola]]. Symptoms typically only affect one breast. Symptoms may include:
* ''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.
* ''Discharge:'' A discharge, which may be straw-colored or bloody, may ooze from the area.
* ''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
|accessdate=2010-04-05}}</ref>
* 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.


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:
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.


:*Redness and flaking of the nipple skin
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.
 
:*[[Tingling]], [[itching]], increased sensitivity, [[burning]], and [[pain]] 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.
 
The signs and symptoms of Paget disease of the nipple may include changes to the breast, such as:
• nipple skin changes◦ crusting
◦ scaling or flaking
◦ redness of the nipple and areola
 
• burning
• itching
• pain
• nipple discharge
• bleeding from the nipple
• flattened nipple
• inverted nipple (turned inward)
a lump in the breast◦ About half of people with Paget disease have a lump in the area near the nipple


==References==
==References==

Revision as of 14:31, 11 January 2016

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

Overview

History and symptoms

Paget's disease of the breast can affect the nipple and areola. Symptoms typically only affect one breast. Symptoms may include:

  • Skin: The first symptom is usually an eczema-like rash. The skin of the nipple and areola may be red, itchy and inflamed.[1] After a period of time, the skin may become flaky or scaly.
  • Discharge: A discharge, which may be straw-colored or bloody, may ooze from the area.
  • 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.[2] In more advanced stages, the disease may cause tingling, increased sensitivity and pain.[3]
  • Nipple changes: The nipple may turn inwards (be 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.

Most women do not visit the doctor because they assume Paget's disease to be minor contact dermatitis or eczema.[4] A lump or skin irritation that does not seem to heal for over a month indicates that attention by a specialist is needed.

References

  1. Marques-Costa, JC; Cuzzi, T; Carneiro, S; Parish, LC; Ramos-e-Silva, M (May–Jun 2012). "Paget's disease of the breast". Skinmed. 10 (3): 160–5. PMID 22779098.
  2. "Paget's Disease of The Nipple". Retrieved 2010-04-05.
  3. "Paget Disease of the Nipple: Questions and Answers". Retrieved 2010-04-05.
  4. "Breast Pagets Disease". Retrieved 2010-04-05.


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