Hello and thanks in advance for your time. Im really afraid I might have Paget's disease of the breast and I need some advice. I am 37 y/o with 3 young children. After the birth of my twins and subsequent nursing for 3 months, my right nipple inverted (that was 5 years ago). All my life I have had severe eczema (as in cracking,oozing and sometimes bleeding)skin. As long as I can remember Ive had itchy nipples. Unfortunately within the last year my right nipple has become more itchy,lately within the last 5 months when I itch it, the skin appears to crack, then weep,then gets scaly, sometimes after being inverted, it will have a yellowish crust around it. Then is goes away,without treatment, but always comes back. Now, that I compare it to my other nipple it seems quite different, the glands seem larger,and the cleft is deeper and wider, and when the nipple is really erect there is a yellow ring around the nipple, almost like blanching. No spots of eczema on the areola. No definite sores, but general flakiness.I had a mammogram 3 years ago, that was fine, and my last manual (done by gyn) was a year ago, also fine. Recently, I did have 2 patches of impetigo, (thanks to kindergarten!) underneath my breasts. My left breast does have some flakiness from itching, but nothing at all like the right one.
How worried should I be that this might be paget's, and should I insist on a biopsy? Please advise, Im absolutely sick to my stomach over this.Thank you.