If the whole of your breast is removed, breast reconstruction surgery can be used to create a breast shape to match your remaining breast. Depending on whether the cancer has spread, surgery will either involve removing the whole breast (a mastectomy), or the nipple and areola with the breast tissue underneath them (a central excision). Surgery is the main treatment for Paget's disease of the nipple. Read more about diagnosing Paget's disease of the nipple. If the results of the biopsy indicate Paget's disease, you'll have a mammogram (a low-dose breast X-ray) to investigate further. Although most breast lumps are not cancerous, it's important to have them checked out.Ī biopsy is used to confirm a suspected diagnosis of Paget's disease of the nipple. A small tissue sample (punch biopsy of the skin) will be taken from your nipple and examined under a microscope to see if it's cancerous. You should see your GP if you notice any changes in the skin of your nipple or areola.Īs Paget's disease of the nipple is associated with breast cancer, the sooner it's diagnosed, the better the outcome is likely to be.Īlso see your GP if you develop a lump in your breast. Read more about the risk factors for breast cancer. drink a lot of alcohol – your risk can increase with the amount of alcohol you drink.are overweight or living with obesity, particularly if you've been through the menopause (you can use the BMI calculator to check if you're a healthy weight).have had a type of benign (non-cancerous) breast disease before – certain types of benign breast disease may be associated with an increased risk of breast cancer, but this is only seen in a very small number of women.have close relatives with breast cancer.are older – the risk of developing breast cancer increases with age.In terms of risk factors, you're more likely to develop breast cancer if you: There are no known causes that lead to a specific type of breast cancer. Some women appear to be more at risk of developing breast cancer, but not specifically Paget's disease. ![]() The cause of Paget's disease of the nipple is unknown. ![]() This is where the cancerous cells are contained in 1 or more areas of the breast and have not spread. However, most women with Paget's disease who do not have a lump have non-invasive cancer. Invasive cancer is where cancerous cells invade the surrounding breast tissue. Some women with Paget's disease have invasive breast cancer but do not have a lump. In 9 out of 10 cases this is an invasive breast cancer. However, you should still have it checked by a doctor.Īround half of all women diagnosed with Paget's disease of the nipple have a lump behind the nipple. If you're experiencing itchiness, burning or bleeding but the nipple looks normal and is not red or scaly, it's unlikely to be Paget's disease of the nipple. If you scratch it, or if it's left untreated, it can bleed, become ulcerated or scab over. The rash is often similar in appearance to other skin conditions, such as eczema or psoriasis.
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