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Contributor

CSBR Prasad, MD

Diagnosis

carcinoma, breast Paget disease

Body Site

breast nipple

Age

54 years

Pigmentation

medium

Organization

confluent

Color

red brown

Morphology

patch

Pattern

unilateral asymmetric

Comments

This 54-year-old woman complained of an itchy patch on her right nipple for 4 months. Scratching resulted in thickening of the overlying skin and intermittent drainage of serosanguinous fluid. Application of topical antiseptics did not help with symptoms. Examination revealed eczematous changes over the nipple and an ill defined nodule in the lower lateral quadrant.

Description

54year old female with excoriated left nipple of 4months duration. The lesion is itchy and some times oozes serosanguinous fluid. Local application of antiseptics didnot help her much. Local examination revealed eczematous nipple and an ill defined nodular lesion in the lower lateral quadrant. FNAC revealed highly cellular smear with large atypical ductal epithelial cells arranged in clusters and also in discohesion having large nuclei and irregualr nuclear membrane. cytoplasm is moderate with well defined borders. There are no naked nuclei in the background. Scrapings from the nipple area also revealed a few similar atypical cells.

Categories

neoplasm, malignant

Image Added

11/28/2010 13:24:05

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Other Resources

PubMed Medline Plus Medscape

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