What are the treatment options for paget's breast disease?

Options: Paget's can be treated with removal of the nipple-areola area (lumpectomy) followed by radiation or total mastectomy which includes the nipple. Chemotherapy is not usually needed. Hormonal therapy is used if the tumor is estrogen or Progesterone positive.

Mastectomy lumpect: Usually mastectomy (with or without reconstruction is indicated). However, if the paget's is not associated with an invasive cancer - or if the cancer is not very big, a central lumpectomy - removing all of the nipple and areola and a cone of tissue under it may be done. In all of these cases, radiation is indicated and there is still a risk of local recurrence and usually a significant deformity.