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Image Number #9043 (Paget's disease of nipple and areola)

Diagnosis: Paget's disease of nipple and areola

Description:

A well demarcated, erythematous, crusted plaque exuding a serosanguineous discharge.

Morphology: Erythema

Site: Breast

Sex: F

Age: 45

Type: Clinical

Submitted By: Shahbaz Janjua

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Differential Diagnosis

History:

Paget’s disease of the nipple and areola represents an intraepithelial spread of an adenocarcinoma arising from an intraductal breast carcinoma.The main clinical feature of Paget’s disease is a unilateral,
chronic scaly, eczematous, therapy-resistant, slowly increasing erythema of the nipple and the surrounding skin. On histopathologic examination, there are intraepidermal larger cytoplasmic pale cells with an atypical nucleus, which are named Paget cells. These cells represent intraepithelial single-cell extensions of an intraductal breast carcinoma. 

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Paget's disease of nipple and areola"

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