What is the treatment for paget's disease of breast?

Surgery. First, mammogram and possibly MRI to determine whether there is more cancer in the breast. If not, then lumpectomy, which would remove the nipple & areola, followed by radiation, is one option. Mastectomy is another option, and reconstruction can be done at the same time. See a breast surgeon or surgical oncologist for a discussion of treatment options.
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.

Related Questions

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. Read more...
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. Read more...

How can Paget's disease of breast be treated?

Possible. The treatment is surgical resection. However, because paget's disease of the breast is associated with an underlying breast cancer (in situ and/or invasive) in almost 90% of cases, often without an associated breast mass or mamm abnormality. This underlying cancer has to be treated accordingly based on the er/pr/her2 neu and staging, etc.The prognosis will depend on the underlying beast cancer. Read more...

What are the tests for paget's disease of breast?

Biopsy. Paget's disease is a rare form of breast cancer. It is diagnosed after obtaining a biopsy of the area on the nipple or areola. In many cases, there are no abnormalities seen on mammogram or ultrasound. Once a diagnosis is made, a breast MRI may be performed to look for additional lesions in the breast. Paget's has a good prognosis if diagnosed early. Read more...

What are the symptoms of paget's disease of breast?

Skin rash. An eczematous skin rash affecting the nipple and areola due to an underlying breast cancer is paget disease. A mass/lump may or may not be palpable. Read more...
Crusting rash. A typical rash around the nipple or areola. More advanced cases may have a breast mass underneath the nipple or palpable lymph nodes in the armpit. Read more...

Is paget's disease of breast curable?

It may be. Like other types of breast cancer with prompt and appropriate treatment there is a good likelihood that paget's disease can be successfully treated. Read more...
Potentially, yes. Paget's disease is an intraepithelial cancer of the nipple, meaning that, in and of itself, it is in-situ cancer. The prognosis has to do with the underlying cancer that is present elsewhere in the breast ~75% of the time. Therefore, if there is only in-situ cancer elsewhere, the chance for cure is 90-100%. If invasive cancer is present elsewhere, the cure rate is stage-dependent. Read more...

Do doctors see a lot of patients with paget's disease of breast?

No. It is not a common type of breast cancer. So most doctors don't see a lot of patients with this probem. Many times the patients may see a dermatologist . The breast surgeons end up seeing most of the patients with paget's disease due to referral from primary care physicians or dermatologists. Read more...
Uncommon. Paget disease of the breast is much less common than other presentations of breast cancer. It accounts only 1 to 3 percent of new cases of female breast cancer that are diagnosed annually in the United States. Read more...

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. Read more...
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. Read more...