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SAS Journal of Medicine | Volume-11 | Issue-01
A Process from Eczema to Breast Surgery: Paget's Disease of the Nipple
Zekiye Kanat, Özgen Arslan Solmaz
Published: Jan. 30, 2025 |
35
29
DOI: https://doi.org/10.36347/sasjm.2025.v11i01.016
Pages: 81-89
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Abstract
Objective: Clinical symptoms of Paget's disease of the nipple include malignant crusting or ulceration in the nipple-areola region, along with chronic eczematous alterations followed by throbbing pain or itching. When a biopsy is not performed after developing suspicion, the diagnosis is delayed. In this study, we sought to present the patients who had undergone histopathologic testing in our institution and received the diagnosis of Paget disease of the nipple. Patients and Methods: Retrospective evaluations were performed on patients who had a Paget's disease of the nipple diagnosis prior to January 2020. Patients were located in the pathology laboratory's archived records. Computer data, outpatient clinic records, and epicrises of individuals sent to the surgical service were examined after identifying the patients whose records were reviewed. Age, presenting ailment, and histopathologic diagnosis of the patients were examined. Results: The pathology archive's computer records for the patients were examined. The research had six patients that were eligible and met the requirements. The average age of the patients, who were all female, was 66.5 12.75 years (55-88). The other four patients also had nipple eczema, while two of the patients also had a breast lump. Conclusions: Chronic nipple or areola dermatoses should have a biopsy for histological evaluation, particularly if they continue after three weeks of topical therapy.