Paget's Disease of the Nipple

Question 1

what is this?

Answer 1

variant of ductal carcinoma

Question 2

presentation

Answer 2

discharge (can be bloody)

dry, scaly, eczematous lesion

Question 3

diagnosis

Answer 3

tissue biopsy (incisional or punch)

Question 4

what is an intraductal papilloma?

Answer 4

wart lesion that grows within one of the ducts in the breast due to proliferation of epithelial cells

Question 5

presentation of intraductal papilloma

Answer 5

clear or blood-stained nipple discharge

Question 6

diagnosis of intraductal papilloma

Answer 6

filling defect on ductography

Question 7

management of intraductal papilloma

Answer 7

excision and assessment for atypical hyperplasia or cancer that has been missed on biopsy

Question 8

what is a galactocele?

Answer 8

breastmilk filled cyst

Question 9

how does a galactocele occur?

Answer 9

lactiferous duct is blocked preventing the gland from draining milk

Question 10

who gets galactoceles?

Answer 10

women breastfeeding

Question 11

management of galactoceles

Answer 11

can drain but most resolve