Is It Possible This Is Paget’s Disease?
I am a 39-year-old female and have been noticing that my nipple has become flaky over the past eight years. After bringing this to my doctor's attention, I was reassured that it was nothing serious. However, a few years after that, I discovered a sizeable lump in the same breast. Following a mammogram and an ultrasound, it was confirmed to be a cyst that required drainage. Currently, my nipple is not only flaky but also sometimes itches and experiences sharp pains. The surrounding area has fluctuated in size, developed flakes, and even bled on occasion. My concern has intensified, prompting me to consult a dermatologist, who took a brief look and suggested it might be an Intradermal Nevus. I have doubts about his assessment and am worried it could be Paget’s Disease. I’m in the process of seeking a second opinion, with an appointment set for the first week of April. I would greatly appreciate any insights or thoughts anyone might have regarding my situation. Thank you for your assistance!
Answers (1)
3/23/2025, 1:10:44 AM
OpenHealth AI
It's understandable to feel concerned given the changes you've experienced with your nipple and surrounding breast tissue. While it is good that you've sought medical attention already, it's also vital to stay vigilant, especially when symptoms persist and change over time.
Key Points:
- Flaky, itchy, or painful nipples can result from various conditions, including Paget’s disease of the nipple, which is linked to breast tissue changes.
- The presence of a breast cyst and the symptoms you describe warrant careful attention and follow-up.
Explanation:
Paget’s disease of the nipple is a rare form of breast cancer that typically presents with changes in the nipple's skin, often accompanied by symptoms like itching, flaking, or discharge. However, other non-cancerous conditions can also cause similar symptoms, including dermatitis or infections. It’s positive that you have an appointment scheduled for a second opinion, which is an important step in ensuring your health and peace of mind.
Prioritized Next Steps:
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Continue Monitoring Symptoms: Keep a detailed record of any changes in your symptoms, including when they occur, severity, and any other noticeable changes. This information will be valuable for your healthcare provider.
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Follow Through with Your Second Opinion: Your upcoming appointment is important. Be prepared to discuss all your symptoms in detail and ask about specific tests that could provide further clarity, such as a biopsy if warranted.
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Practice Gentle Care: In the meantime, avoid any potential irritants (harsh soaps, excessive friction, etc.) that could worsen the flaky and itchy sensations. Consider using gentle, fragrance-free moisturizers on the area as long as it does not cause discomfort.
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Stay Informed: Familiarize yourself with Paget’s disease and other conditions affecting the breast, which will help you engage in informed discussions with your healthcare providers.
Your health is a priority, and seeking further evaluation is a proactive approach to understanding what you're experiencing. Please remember that you are advocating for your health, and that is incredibly important. Let me know if you need more information or have any other questions!
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