Clinicopathological Relevance and Prognostic Value of Androgen Receptor in Mammary Paget’s Disease with Underlying Invasive Ductal Carcinoma

2020 ◽  
Vol 43 (7-8) ◽  
pp. 346-353
Author(s):  
Menglu Zhang ◽  
Xiangzhi Meng ◽  
Changyuan Guo ◽  
Jiaqi Liu ◽  
Zeyu Xing ◽  
...  
2021 ◽  
pp. 1242-1247
Author(s):  
Wataru Goto ◽  
Shinichiro Kashiwagi ◽  
Yuko Kawano ◽  
Asuka Komoda ◽  
Sae Ishihara ◽  
...  

Mammary Paget’s disease is a rare malignancy. Mastectomy or breast-conserving surgery has been considered as the standard treatment, while there have been few reports of neoadjuvant chemotherapy (NAC). A 53-year-old woman with erythema and skin ulceration of the left breast was admitted to our institution. Breast examinations revealed left invasive ductal carcinoma (cT1bN0M0, cStage I), and a punch biopsy of the left mammary erythema indicated Paget’s disease (cTisN0M0, cStage0). The patient received NAC because of multiple lesions. Consequently, the breast tumor clinically disappeared, and the erythema improved. These outcomes made it easier to perform surgery (left mastectomy and sentinel node biopsy). Histopathological examination revealed no residual cancer cells in either the mammary gland or breast skin, and no metastasis was found in the sentinel lymph node. Therefore, NAC may be a useful treatment for mammary Paget’s disease.


2019 ◽  
Vol 28 (2) ◽  
pp. 210-215 ◽  
Author(s):  
Samantha A. Moore ◽  
Hollis M. Notgrass ◽  
Travis W. Vandergriff ◽  
Sunati Sahoo

Mammary Paget’s disease is rare and comprises about 0.62% of all breast cancer cases, only 1.65% of which occur in male patients. This case report involves a 76-year-old man who presented to his primary care physician with an itching, scaly, unilateral lesion involving the nipple skin. He underwent wide local excision of the lesion for a diagnosis of Bowen’s disease (squamous cell carcinoma in situ). Histologic examination of the specimen revealed mammary Paget’s disease with ductal carcinoma in situ in the underlying breast tissue. A panel of immunohistochemical stains revealed the Paget cells to be positive for cytokeratin 7, MUC1, GATA3, and androgen receptor and negative for cytokeratins 5/6, p63, SOX10, and MART-1/Melan-A. Paget cells were also negative for estrogen receptor and progesterone receptor, and positive for HER2/neu. However, the underlying ductal carcinoma in situ was positive for both estrogen receptor and progesterone receptor and negative for HER2/neu. This discordance, supported by the current literature, suggests an alternative etiology for Paget’s disease in certain cases that cannot be explained by the well-established epidermotropic and transformative theories of Paget’s disease evolution.


2021 ◽  
pp. 103035
Author(s):  
Abdulwahid M. Salih ◽  
Zuhair D. Hammood ◽  
Fahmi H. Kakamad ◽  
Snur Othman ◽  
Razhan K. Ali ◽  
...  

Breast Cancer ◽  
2010 ◽  
Vol 21 (2) ◽  
pp. 241-245 ◽  
Author(s):  
Shunsuke Onoe ◽  
Hitoshi Tsuda ◽  
Sadako Akashi-Tanaka ◽  
Takahiro Hasebe ◽  
Eriko Iwamoto ◽  
...  

2020 ◽  
Vol 7 (12) ◽  
pp. 4231
Author(s):  
Pravin Kumar ◽  
Arpita Jindal ◽  
Bhushan Bhalgat ◽  
Phanindra Kumar Swain ◽  
Raj Govind Sharma

Paget’s disease of breast is also known as Paget’s disease of the nipple & mammary Paget’s disease, involving the skin of nipple & areola. It is rare type of cancer with tumors inside the same breast which may be either ductal carcinoma in-situ or invasive breast cancer. We report a case with Paget’s disease of breast which is not only involving the nipple-areola complex but also involving surrounding skin of breast.


2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Eleonora Gaspari ◽  
Aurora Ricci ◽  
Valeria Liberto ◽  
Angela Lia Scarano ◽  
Maria Fornari ◽  
...  

Mammary Paget’s disease is a rare presentation of breast cancer. At clinical examination, it is characterized by skin lesions of the nipple-areola complex, almost always a sign of malignancy. In fact, it is often associated with an underlying mammary ductal carcinoma in situ (DCIS) or invasive carcinoma. An underlying carcinoma is also common in women with negative mammography and ultrasound (US); in these cases, magnetic resonance imaging (MRI) is a diagnostic tool useful in the detection of occult cancer. We described an unusual case of mammary Paget’s disease with underlying DCIS, in a patient without nipple-areola complex alterations and/or palpable lump. On suspicion of Paget’s disease, the patient underwent MRI examination that proved useful for an accurate diagnosis. Biopsy confirmed dynamic MRI findings.


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