What do you recommend for paget's disease of breast?

Need a biopsy: Paget's disease of the breast is one of the ways breast cancer can manifest. It is usually due to breast cancer in the nipple/areolar area. It may be confused with dermatitis or eczema. If there is any suspicion for paget's disease of the breast diagnostic imaging of the breast need to be done as a general work up. Then followed by a biopsy even if the mammogram and ultrasound studies are negative.

Depends on Stage: Paget's disease is defined as cancer cells within the skin of the nipple. It is associated with an underlying cancer somewhere in the breast 95%of the time. Surgical rx requires removal of the nipple-areolar complex and the cancer (if present); while not mandatory, this often requires a mastectomy to accomplish both. The prognosis is similar to any other breast cancer, based on its stage.

I believe the best : Option is bilateral mastectomy & recostruction.