Abstract
Paget’s disease of the breast is a rare breast tumor that was first identified by Sir James Paget in 1874. It is characterized by eczema-form changes accompanied with erosion and ulceration of the nipple and areolar epidermis. It is mostly correlated with ductal carcinoma in situ (DCIS); additionally, it can be accompanied by invasive ductal carcinoma (IDC). The diagnosis is determined upon microscopically observing Paget cells in a skin biopsy. The width of the lesion is evaluated via mammography and MRI in patients for whom breast-preserving surgery is planned. Depending on the extent of the lesion, sentinel lymph node biopsy and axillary curettage for those having axillary metastases are the treatment alternatives to breast-preserving surgery or mastectomy.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Paget J. On disease of the mammary areola preceding cancer of the mammary gland. St Bartholomew Hosp Rep. 1874;10:87–9.
Desai DC, Brennan Jr EJ, Carp NZ. Paget’s disease of the male breast. Am Surg. 1996;62(12):1068–72.
Caliskan M, Gatti G, Sosnovskikh I, Rotmensz N, Botteri E, Musmeci S, et al. Paget’s disease of the breast: the experience of the European Institute of Oncology and review of the literature. Breast Cancer Res Treat. 2008;112:513.
Serour F, Birkenfeld S, Amsterdam E, Treshchan O, Krispin M. Paget’s disease of the male breast. Cancer. 1988;62(3):601–5.
Ortiz-Pagan S, Cunto-Amesty G, Narayan S, Crawford S, Derrick C, Larkin A, et al. Effect of Paget’s disease on survival in breast cancer: an exploratory study. Arch Surg. 2011;146(11):1267–70.
Kaelin CM. Paget’s disease. In: Harris JR, Lippman ME, Morrow M, Osborne CK, editors. Diseases of the breast. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 1007–14.
Jamali FR, Ricci Jr A, Deckers PJ. Paget’s disease of the nipple-areola complex. Surg Clin N Am. 1996;76:365.
Kollmorgen DR, Varanasi JS, Edge SB, Carson 3rd WE. Paget’s disease of the breast: a 33-year experience. J Am Coll Surg. 1998;187:171.
Sagebiel RW. Ultrastructural observations on epidermal cells in Paget’s disease of the breast. Am J Pathol. 1969;57:49.
Fu W, Lobocki CA, Silberberg BK, Chelladurai M, Young SC. Molecular markers in Paget disease of the breast. J Surg Oncol. 2001;77:171.
Kirkham N, Berry N, Jones DB, Taylor-Papadimitriou J. Paget’s disease of the nipple. Immunohistochemical localization of milk fat globule membrane antigens. Cancer. 1985;55:1510.
Vanstapel MJ, Gatter KC, De Wolf-Peeters C, Millard PR, Desmet VJ, Mason DY. Immunohistochemical study of mammary and extra-mammary Paget’s disease. Histopathology. 1984;8:1013.
Franceschini G, Masetti R, D’Ugo D, Palumbo F, D’Alba P, Mulè A, et al. Synchronous bilateral Paget’s disease of the nipple associated with bilateral breast carcinoma. Breast J. 2005;11:355.
Chaudary MA, Millis RR, Lane EB, Miller NA. Paget’s disease of the nipple: a ten year review including clinical, pathological, and immunohistochemical findings. Breast Cancer Res Treat. 1986;8:139.
Kobayashi TK, Ueda M, Nishino T, Kibe S, Higashida T, Watanabe S. Scrape cytology of pemphigus vulgaris of the nipple, a mimicker of Paget’s disease. Diagn Cytopathol. 1997;16:156.
Günhan-Bilgen I, Oktay A. Paget’s disease of the breast: clinical, mammographic, sonographic and pathologic findings in 52 cases. Eur J Radiol. 2006;60(2):256–63.
Ceccherini AF, Evans AJ, Pinder SE, Wilson AR, Ellis IO, Yeoman LJ. Is ipsilateral mammography worthwhile in Paget’s disease of the breast? Clin Radiol. 1996;51:35.
Tohno E, Cosgrove DO, Sloane JP. Ultrasound diagnosis of breast disease. London: Churchill Livingstone; 1994. p. 76–178.
Sakorafas GH, Blanchard K, Sarr MG, Farley DR. Paget’s disease of the breast. Cancer Treat Rev. 2001;27:9–18.
Tilanus-Linthorst MM, Obdeijn AI, Bontenbal M, Oudkerk M. MRI in patients with axillary metastases of occult breast carcinoma. Breast Cancer Res Treat. 1997;44:179–82.
Friedman EP, Hall-Craggs MA, Mumtaz H, Schneidau A. Breast MR. The appearance of normal and abnormal nipple. Clin Radiol. 1997;52:854–61.
Gillett CE, Bobrow LG, Millis RR. S100 protein in human mammary tissue immunoreactivity in breast carcinoma, including Paget’s disease of the nipple, and value as a marker of myoepithelial cells. J Pathol. 1990;160:19.
Yao D, Hoda S, Ying L, Rosen P. Intraepithelial cytokeratin 7 immunoreactive cells in non-neoplastic nipple represents interepithelial extension of lactiferous duct cells (abstract). Mod Pathol. 2001;14:42A.
Zakaria S, Pantvaidya G, Ghosh K, Degnim AC. Paget’s disease of the breast: accuracy of preoperative assessment. Breast Cancer Res Treat. 2007;102:137.
Solin LJ, Kurtz J, Fourquet A, Amalric R, Recht A, Bornstein BA, et al. Fifteen-year results of breast-conserving surgery and definitive breast irradiation for the treatment of ductal carcinoma in situ of the breast. J Clin Oncol. 1996;14:754.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
İğci, A., Aksakal, N., Özkurt, E. (2016). Paget’s Disease of the Breast. In: Aydiner, A., İgci, A., Soran, A. (eds) Breast Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-26012-9_25
Download citation
DOI: https://doi.org/10.1007/978-3-319-26012-9_25
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-26010-5
Online ISBN: 978-3-319-26012-9
eBook Packages: MedicineMedicine (R0)