Paget Disease of the Breast: An Uncommon Case Report

Paget’s breast disease is a rare malignancy with an incidence of 0.7% to 4.3% among all primary breast cancer. It’s characterized by an eczemous and ulcerative lesion of the nipple area. It’s associated up to 90% to an underlying invasive carcinoma or carcinoma in situ. Upon every cutaneous lesion matching the description above in women in their fifth or sixth decade, a punch biopsy should be performed. Imaging investigations rely on mammography, breast ultrasound and most importantly on Magnetic resolution imaging (MRI). Treatment management offers a wide array of options ranging from total mastectomy with sentinel node biopsy to non-surgical and non-invasive therapy. We present the uncommon case of a 49 years old female presented to our facility with Paget breast disease treated by breast conserving surgery.