Paget’s Disease Breast
Paget’s disease of the breast is the most common cutaneous presentation of intraductal carcinoma of the breast, but is found in less than 5% of all breast cancer cases. It is found almost exclusively in women and increases in incidence with age. Most patients are asymptomatic or only mildly uncomfortable, and skin changes can be present for months to years before the diagnosis is made. It is frequently mis-diagnosed as nipple eczema and treated unsuccessfully with topical steroids. In all cases of nipple eczema that are chronic or do not resolve with topical steroids, Paget’s disease of the breast should be suspected. The treatment and prognosis depends on the stage of the intraductal breast carcinoma.