Paget's disease of the breast history and symptoms
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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
- ↑ 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.
- ↑ "Paget's Disease of The Nipple". Retrieved 2010-04-05.
- ↑ "Paget Disease of the Nipple: Questions and Answers". Retrieved 2010-04-05.
- ↑ "Breast Pagets Disease". Retrieved 2010-04-05.