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Breast Cancer  (Expert Forum)
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reoccurring itchy patch on areola
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.

reoccurring itchy patch on areola

by Allyson, Dec 08, 2001 12:00AM

A year ago I noticed a dry, flakey patch on my right areola, had it checked by a dermatologist and they gave me a steroid ointment. It went away after about 3 monthes. I did not have a biopsy or a mammogram. Now, it has reoccurred on the same breast in a different spot on my areola, with the same symptoms. I am 27 and healthy, taking no medication. I understand Paget's disease is uncommon but I am not sure what the diagnosis could be. The spot is about the size of my thumbnail, with no discharge but does itch quite a bit. Any suggestions or recommendations would be helpful. Is a biopsy necessary? Should I return to the dermatologist or go see another type of doctor?

Thanks.

by CCF-RN,MSN-JS, Dec 10, 2001 12:00AM
Dear Allyson, Paget’s disease is a very rare form of breast cancer.  Symptoms usually associated with this are itching, redness, and spontaneous (not forced) nipple discharge.  For Paget’s disease to be diagnosed requires a sample of the tissue to be examined under the microscope.  I would see the dermatologist, since they have seen you before, and discuss with them your concern, they can reevaluate this in light of your concerns.
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