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KMID : 1100920190400040269
Korean Journal of Family Medicine
2019 Volume.40 No. 4 p.269 ~ p.272
Mammary Paget¡¯s Disease of the Nipple: Relatively Common but Still Unknown to Many
Ooi Poh Siang

Draman Nani
Yusoff Siti Suhaila Mohd
Zain Wan Zainira Wan
Ganasagaran Dharmendra
Chua Hui Heng
Abstract
Mammary Paget¡¯s disease is clinically defined as skin inflammation of the nipple area and is an adenocarcinoma of the epidermis of the nipple. The pathogenesis of mammary Paget¡¯s disease is relatively unknown; nonetheless, there are two popular theories that support the underlying carcinoma and de novo carcinogenesis. For the attending medical practitioner, mammary Paget¡¯s disease poses a diagnostic and therapeutic dilemma, especially in the absence of a clinically palpable breast mass. We report a rare case of a 48-year-old Malay woman who presented at Hospital Universiti Sains Malaysia, Kelantan, Malaysia with the symptom of skin erosion on the left nipple and unresponsiveness to multiple topical treatments. A full evaluation and assessment of the patient were conducted, and mammary Paget¡¯s disease was diagnosed.
KEYWORD
Breast Neoplasms, Eczema, Mammary Paget¡¯s Disease, Nipples
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