[Is mammography useful in Paget's disease of the breast?].

Abstract

PURPOSE:

Interest of the mammogram in Paget's disease of the breast, especially for a therapeutic decision in otherwise asymptomatic women with Paget's disease, who would be candidates for conservative treatment.

MATERIALS AND METHODS:

61 women with histological Paget's disease of the nipple, treated by mastectomy, were retrospectively analyzed with clinical, radiological and pathological correlations.

RESULTS:

An underlying carcinoma was found in 60 cases (98.4%), atypical epithelial hyperplasia in one. In the 24 women without breast palpable mass, 17 (71%) had a normal mammogram, 12 (50%) had carcinoma with an invasive component, 14 (58%) had a cancer at a distance from the nipple, 17 (71%) had a multifocal carcinoma. All 37 women with a palpable mass had a pathological mammogram, 36 of them had carcinoma with an invasive component, 35 (95%) a cancer at a distance from the nipple, 31 (84%) a multifocal carcinoma.

CONCLUSION:

Mammogram is of limited value in management of Paget's disease of the breast for women without breast palpable mass; it can not predict the site of malignancy, nor the invasive component.

• Authors: A Le Pennec, J Lacroix, L S Fournier, G R Schmutz, V Boute, H Crouet, Y Denoux
• Journal: Journal de gynecologie, obstetrique et biologie de la reproduction (J Gynecol Obstet Biol Reprod (Paris)) Vol. 29 Issue 7 Pg. 655-61 (Nov 2000) ISSN: 0368-2315 [Print] France
• Vernacular Title: La mammographie est-elle utile dans la maladie de Paget du sein?
• PMID: 11119037 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Female
• Humans
• Mammography
• Middle Aged
• Paget's Disease, Mammary (diagnostic imaging)
• Retrospective Studies