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A 44-year-old member asked:

How can you tell if something is paget's disease breast cancer, or only nipple-eczema?

5 doctor answers17 doctors weighed in
Dr. Gurmukh Singh
Pathology 50 years experience
Biopsy: Diagnosis may require biopsy of the lesion and examination of the tissue by a pathologist.
Dr. Mark Hoepfner
Surgery 40 years experience
Biopsy: Often a skin biopsy is indicated to tell if the condition is benign or if it is cancerous.
Dr. Sean Canale
Dr. Sean Canale commented
Breast Surgery 31 years experience
A skin punch takes about a minute in the office with local anesthesia and no sutures.
Jul 6, 2012
Dr. Sean Canale
Dr. Sean Canale commented
Breast Surgery 31 years experience
A skin punch takes about a minute in the office with local anesthesia and no sutures.
Jul 6, 2012
Dr. Sean Canale
Breast Surgery 31 years experience
Skin punch bx: One may be able to tell by clinical evaluation if it is obviously one or the other. The ultimate diagnosis can be made via skin punch biopsy which can be done in the office under local and takes only a minute or two with no suturing required.
Dr. Liawaty Ho
Hematology and Oncology 24 years experience
Biopsy: Biopsy will be needed to definitively differentiate paget;s disease of the breast or eczema.
Dr. Michael Gabor
Diagnostic Radiology 34 years experience
Biopsy: may be necessary to make the determination.
Last updated Mar 22, 2020

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