Enfermedad de Paget de la mama: análisis de una serie de 27 casos

Paget's disease represented 1.4% of breast carcinoma in our series and the characteristic diagnostic sign was eczema of the nipple-aureola. Mammography showed low diagnostic sensitivity. Magnetic resonance imaging should be used in patients with Paget's disease without breast abnormalities. Biopsy of the lesion should be performed when there is diagnostic doubt. The most common treatment was mastectomy. Conservative surgery can be used in selected patients with Paget's disease limited to the nipple or with a circumscribed subareolar lesion, although the risk of an underlying tumor must be taken into account.