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Image Number 452 (Mammary Paget's disease)

 
Morphology:
Plaque

Diagnosis: Mammary Paget's disease

Site: Breast

Sex: F

Age: 67

Type: Clinical

Description: Slowly spreading red scaly plaque on the breast

Submitted by: Ian McColl

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Differential Diagnosis

History: Mammary Paget's disease is an eczema like plaque which originates as a ductal carcinoma of the nipple and slowly spreads out over the nipple and breast.This is an exceptionally extensive case.An apparent unilateral eczema of the nipple that fails to respond to a topical steroid should make you think of this condition and take a skin biopsy.

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