Paget's disease of the breast differential diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Differential Diagnosis

Paget’s disease of the breast must be differentiated from other benign and malignant processes of nipple-areola complex such as:[1][2]

  • Atopic dermatitis
  • Chronic contact dermatitis
  • Lactiferous duct ectasia
  • Chronic eczema
  • Psoriasis
  • Nipple duct adenoma
  • Malignant melanoma
  • Basal cell carcinoma
  • Bowen’s disease
  • Cutaneous extension of a mammary carcinoma
  • Superficial and pagetoid basal cell carcinoma
  • Superficial spreading melanoma (if there is hyperpigmentation)
  • Benign intraductal papilloma

References

  1. Gaspari, Eleonora; Ricci, Aurora; Liberto, Valeria; Scarano, Angela Lia; Fornari, Maria; Simonetti, Giovanni (2013). "An Unusual Case of Mammary Paget's Disease Diagnosed Using Dynamic Contrast-Enhanced MRI". Case Reports in Radiology. 2013: 1–5. doi:10.1155/2013/206235. ISSN 2090-6862.
  2. Lopes Filho, Lauro Lourival; Lopes, Ione Maria Ribeiro Soares; Lopes, Lauro Rodolpho Soares; Enokihara, Milvia M. S. S.; Michalany, Alexandre Osores; Matsunaga, Nobuo (2015). "Mammary and extramammary Paget's disease". Anais Brasileiros de Dermatologia. 90 (2): 225–231. doi:10.1590/abd1806-4841.20153189. ISSN 1806-4841.