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Paget disease of the nipple

Paget disease of the nipple is a very rare form of breast cancer, roughly 1-2% of all new breast cancers diagnosed. It presents as a scaly, raw or ulcerated lesion on the nipple, and can spread to the areola. A bloody discharge may be present, although often it may be clear or yellow.

Pain, a burning sensation and itching of the nipple can be present months before the emergence of the typical ulcerated lesion.

A palpable lump can be felt in roughly 50% of cases, and this will typically be behind or close to the nipple and areola but it can be anywhere in the breast.