This site is intended for healthcare professionals

Sign in
Go to /sign-in page

You can view 5 more pages before signing in

Management and prognosis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Management is concentrated on detecting and treating any associated malignancy.

  • total mastectomy with axillary dissection may be preferable in older patients as it is rapid and reliable. In those who wish to avoid mastectomy, radiotherapy alone or after cone excision of the nipple, areola and underlying ducts may be offered
    • NICE suggest that breast conserving surgery with removal of the nipple-areolar complex should be offered as an alternative to mastectomy for patients with Paget's disease of the nipple that has been assessed as localised (1)
  • wide local excision without radiotherapy is unsatisfactory; it is associated with a 50% recurrence rate. Adjuvant therapy is indicated only for established invasive carcinoma
  • Paget's disease with associated intraduct carcinoma only and no palpable lump, has an excellent prognosis, with a cure rate approaching 100%

Reference:

Create an account to add page annotations

Create a free account

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.