Paget's disease of the nipple diagnosed by MRI

Archives of Gynecology and Obstetrics
Giampiero CapobiancoGiovanni Battista Meloni

Abstract

Paget's disease of the breast is a rare manifestation of breast carcinoma. The patient presented with a red lesion of the left nipple-areola complex. Breast physical examination, ultrasonography and mammography were normal bilaterally. Magnetic resonance imaging (MRI) correctly depicted Paget's disease of the nipple. Before surgery the patient underwent biopsy of the lesion that showed Paget's disease of the breast associated with an underlying ductal carcinoma in situ. The patient underwent left mastectomy and unilateral axillary lymph node dissection. The patient refused the breast-conserving surgery because she was afraid that she could have a recurrence of the carcinoma. Microscopy of the lesion confirmed the MRI diagnosis. MRI was very useful and accurate to diagnose Paget's disease of the breast without palpable mass, ultrasonographic and mammographic findings.

References

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Citations

Oct 20, 2009·Archives of Gynecology and Obstetrics·Hyeon Sook KimYoung Jin Seo
Nov 16, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Hyo Soon LimHeoung Keun Kang
Jan 29, 2008·Journal of the American College of Surgeons·Mary MorroghTari A King
Mar 28, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Brandi T NicholsonMichael A Cohen
May 26, 2010·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Hee Yeon AnHak Hee Kim
Jul 16, 2015·The British Journal of Surgery·S HelmeA Agrawal
Nov 8, 2017·Frontiers in Surgery·S DubarA Feki
Aug 4, 2010·American Journal of Surgery·Elina SiponenMarjut Leidenius

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