Symptoms of Paget's Disease of Breast; should I be concerned?

[TAMM]

I've seen references to Paget's Disease, where there are multiple symptoms manifested in the nipple area. I have a very itchy right nipple. There is a small bump, on the tip, which I have had for many years. There does not appear to be any eczema, nor is there visible irritation other than it is just very slightly redder than the left nipple. I saw a nurse practitioner who suggested I had a yeast infection and gave me a cream to apply twice daily. That was over a week ago, and the problem has not subsided, so I obviously need to be seen again. I'm thinking I should insist on seeing the doctor and discuss testing for Paget's Disease, but perhaps I am overreacting since I don't appear to have enough of the symptoms. I am 54 years old, and breast cancer runs in my family. Should I be concerned about Paget's?

[CCF-RN,MSN-rf]

Dear TAMM:  Paget's disease is usually associated with itchiness and scaliness of the nipple.  If the itching has persisted, the recommendation is to have a mammogram (if you have not) to be sure there is nothing in the breast and have the skin on the nipple biopsied.

[Neets]

Insist on a thorough check up. My mother showed the same symptoms for two years, and was treated with creams and antibiotics. Guess what, finally a biopsy from which was diagnosed pagents disease. Breast and underarm tissue removed.
Seven years down the line and she is doing fine, but don't be put off, insist on a thorough check now. We have more knowledge at our finger tips, we are aware. Don't be put off. Good luck.

[lynneje]

Some months ago my left breast started to itch. My doctor gave me hydrocortisone cream and moisturiser to use. I also went for a mammogram which came back normal. The patch went a brown colour which is touching the aerola. It is dry and when I use the moisturiser goes quite smooth. My doctor is now sending me for a biopsy, I am waiting for the appointment. I always drank fresh orange juice everyday, I have stopped this and noticed my breast does not itch anymore. It has no scabs and does not weep. It is not a rash but a dry brown patch. Could this still be Paget's disease, even though the abstinence from the orange juice has made it much better? I would appreciate any replies. Thanks, Lynn

[shu915]

A related discussion, Paget's disease was started.

[coco75]

A related discussion, Pagent's Disease was started.