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Paget's disease of the breast (also known as mammary Paget's disease) is a rare skin change at the nipple nearly always associated with underlying breast cancer. [2] Paget's disease of the breast was first described by Sir James Paget in 1874. [3] The condition is an uncommon disease accounting for 1 to 4% of all breast cancers cases.
A Toker cell is an epithelial cell with clear cytoplasm in the nipple of some women. [1] Toker cells are believed to develop from sebaceous glands. [1] They are cytokeratin 7 (CK7) positive, in contrast to squamous epithelium. [1] Rarely, they can be numerous and atypical, and difficult to distinguish from malignant cells of Paget's disease of ...
James Paget in 1870 James Paget in 1881 "Surgery" Caricature by Spy published in Vanity Fair in 1876. Sir James Paget, 1st Baronet FRS HFRSE (11 January 1814 – 30 December 1899) (/ ˈ p æ dʒ ə t /, rhymes with "gadget") was an English surgeon and pathologist who is best remembered for naming Paget's disease [1] and who is considered, together with Rudolf Virchow, as one of the founders of ...
Extramammary Paget's disease (EMPD) is a rare and slow-growing cancer, which occurs within the epithelial tissues [1] and accounts for 6.5% of all Paget's disease. [2] This disease presents similarly to the more conventional form of mammary Paget's disease (MPD). [ 3 ]
The microscopic appearance of a nipple adenoma can be mistaken for carcinoma. [1] Other conditions that have similar symptoms and signs as nipple adenoma include Paget's disease of the breast, other intraductal papillomas, ductal carcinoma in situ (DCIS), syringomatous adenoma of the nipple and subareolar sclerosing duct hyperplasia.
Stage 0 which is in situ disease or Paget's disease of the nipple. Stage 0 is a pre-cancerous or marker condition, either ductal carcinoma in situ (DCIS) or lobular carcinoma in situ (LCIS). Stages 1–3 are within the breast or regional lymph nodes. Stage 4 is a metastatic cancer. Metastatic breast cancer has a less favorable prognosis.
The diagnosis of PB may be suggested in individuals with the clinical presentation of PB plus the presence of a family history of mammary secretory carcinomas, lobular carcinoma, ductal carcinoma in situ, invasive ductal carcinomas of no special type, [4] [5] [14] Cowden disease, Noonan syndrome, Proteus syndrome, or neurofibromatosis type 1.
Persistent eczema of the nipple, especially in the middle-aged and elderly, should be discussed with a doctor, as a rare type of breast cancer called Paget's disease can cause similar symptoms. [ 2 ] Treatment