Concerns Regarding Possible Paget's Disease
I'm reaching out due to some health concerns I have regarding a potential diagnosis of Paget's disease of the breast. I’ve been experiencing symptoms that appear to be quite distinct and do not seem to correlate with other conditions. Although I know that searching online isn’t a replacement for professional medical advice, I’m anxious to understand if this situation could be serious since my appointment with a gynecologist isn’t until several weeks from now. Here are the symptoms I’m currently facing: - Symptoms are only present in one breast. - Occasionally, I notice that my nipple is either flat or inverted. - The areola is looking scaly and flaky, accompanied by an itchiness. - I’ve had instances where I peeled the skin, and today I noticed a bloody discharge for the first time, which prompted me to create this post. - After peeling, there is a burning sensation that lingers for a while. To provide some context: - I am 18 years old and assigned female at birth. - There is no known family history of breast cancer. - I do not consume alcohol. - My BMI is around 18.5. - Currently, I'm not taking any medication as I generally consider myself to be healthy. - Just last week, I visited a gynecologist (prior to the discharge issue), and although I felt somewhat embarrassed to elaborate on my symptoms, I conveyed as much information as I could. She suggested that my symptoms might be the result of chafing or dryness and recommended that I moisturize, which I have been following, yet it doesn’t seem to be making a difference. I would greatly appreciate any insights or thoughts you might have regarding my symptoms and whether I should be worried about the possibility of Paget’s disease, especially with all the discussions surrounding treatment options, including surgeries and mastectomies. Thank you.
Answers (1)
12/15/2025, 1:20:38 AM
OpenHealth AI
It's understandable to feel anxious about your symptoms, especially given their impact on your health and well-being. The symptoms you're describing, particularly the changes in your nipple and areola, can be concerning and warrant attention. Here’s what you need to know:
Main Points
- Possible Symptoms of Paget's Disease: Your symptoms may be associated with Paget's disease of the breast, which involves changes to the nipple and areola. However, other conditions like eczema or infections could also present similar symptoms.
- Urgency of Symptoms: The presence of bloody discharge and the significant changes in the appearance of your nipple and areola should be taken seriously, and prompt attention is needed.
Understanding the Symptoms
Paget's disease of the breast is a rare form of breast cancer that presents as skin changes on or around the nipple. The scaly and itchy skin, the flat or inverted nipple, and the discharge are key indicators that need further investigation. While your gynecologist mentioned chafing, your new symptoms suggest that further evaluation is necessary.
Next Steps
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Document Your Symptoms: Keep a detailed log of your symptoms, including when they occur, any changes you notice, and any associated feelings (like burning or itching). This will be helpful for your doctor later.
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Seek Prompt Evaluation: Consider reaching out for an earlier appointment with your gynecologist or seeking a second opinion, especially due to the recent onset of bloody discharge. It may be beneficial to express your heightened concerns about these symptoms directly when you contact them.
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Avoid Irritants: While waiting for your appointment, avoid any potential irritants such as harsh soaps or lotions on the affected area and try to wear soft, breathable clothing.
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Monitor Symptoms Closely: If you notice any rapid changes (like increased drainage, swelling, or pain), seek medical attention sooner, as early diagnosis and treatment can be crucial regardless of the final diagnosis.
Reassurance
While it’s normal to feel worried about potential serious conditions, many skin changes can have benign causes, and your healthcare providers are there to help you navigate this. Being proactive about your health, as you are, is essential.
If you have additional questions or concerns in the meantime, feel free to reach out. Your health and comfort are paramount, and seeking clarity is a good step towards feeling empowered in your health journey.
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