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Thu, 24 Mar 2005 18:03:31 +1100 |
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> 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
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