Skip to content

    Breast Cancer Health Center

    Font Size
    A
    A
    A

    Paget's Disease of the Nipple

    How Is Paget’s Disease of the Nipple Diagnosed?

    If a health care provider suspects Paget’s disease of the nipple, cytology is performed by testing the nipple discharge. If the test is negative, a biopsy of the nipple skin is performed. In a biopsy, the doctor removes a small sample of tissue that is examined for the presence of Paget's cells.

    Because most people with Paget’s disease of the nipple also have underlying breast cancer, a physical exam, mammography (X-ray of the breast), and possible a breast MRI scan are used to make a complete diagnosis.

    How Is Paget’s Disease of the Nipple Treated?

    Surgery is the most common treatment for Paget’s disease of the nipple. The specific treatment often depends on the characteristics of the underlying breast cancer.

    A modified radical mastectomy may be recommended when invasive cancer or extensive ductal carcinoma in situ (DCIS) has been diagnosed. In this operation, the surgeon removes the breast, the lining over the chest muscles, and samples of the lymph nodes under the arm. In cases where underlying breast cancer is not invasive, the surgeon may perform a simple mastectomy to remove only the breast and the lining over the chest muscles.

    Alternatively, patients whose disease is confined to the nipple and the surrounding area may undergo breast-conserving surgery or lumpectomy followed by radiation therapy. During breast-conserving surgery, the surgeon removes the nipple, areola, and the entire portion of the breast believed to contain the cancer. In most cases, radiation therapy is also used to help prevent recurrence of the cancer.

    WebMD Medical Reference

    Reviewed by Nivin Todd, MD on May 17, 2014
    1 | 2

    Today on WebMD

    Breast Cancer Overview
    From mammograms to living after treatment.
    Dealing with breast cancer
    Get answers to your questions.
     
    woman having mammogram
    The 3 latest tips to know.
    woman undergoing breast cancer test
    Most abnormalities aren’t breast cancer.
     
    Resolved To Quit Smoking
    VIDEO
    Breast Cancer Treatments Improving
    Article
     
    Woman getting mammogram
    Article
    Screening Tests for Women
    Article
     
    serious woman
    Article
    Pink badge on woman chest to support breat cancer
    QUIZ
     
    what is your cancer risk
    Article
    breast cancer survivors
    Article