> A mom in my area has been diagnosed with DCIS (ductal carcinoma in situ)
> that may or may not be secondary to Paget's disease.  She is currently
> bf her 1 year old (and bf her 6 yo for 3 years).  For most of the past
> year she has had a raw peeling nipple, and pain in the breast. ....
>
> No one seems interested in biopsying the nipple to see if the whole
> breast really does need to come off, or if lumpectomy and radiation
> would be enough.

Hi Catherine,
I was just reading a new article about nipple eczema last night which 
mentions Paget's disease of the nipple, but says it has not been reported 
(yet) in a breastfeeding woman (Barankin B, Gross MS. Nipple and areolar 
eczema in the breastfeeding woman. J Cutan Med Surg. 2004 
Mar-Apr;8(2):126-30.)
I also mentioned this in the case study of nipple eczema that I wrote in 
1993 in JHL, but have not heard of it occurring in a breastfeeding woman.
If the surgeon is not interested in taking a biopsy from the areola, perhaps 
she could find a dermatologist who would do it.
However, it does sound like a large mass if it is 4-5cm, so a mastectomy may 
be necessary.
Lisa Amir
MBBS, MMed, IBCLC in Melbourne, Australia 

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html