C. Punch biopsy – Explanation
There is suspicion of Paget’s disease of the breast/nipple here. These are usually
diagnosed by having a simple skin punch biopsy.
diagnosed by having a simple skin punch biopsy.
PAGET DISEASE OF THE BREAST/NIPPLE
This is an uncommon breast malignancy with a generally better prognosis
thaninfiltrating ductal carcinoma.
Presentation
Chronic eczematous change of the nipple with:
- Itching
- Erythema
- Scale formation (may mimic psoriasis)
- Erosions
- Nipple discharge including bleeding
- Inverted nipple
- It usuall presents unilaterally
This image shows the scaly, erythematous, crusty, and thickened plaque on the nipple
of Paget Disease of the Breast
