Four cases of paget's disease of the breast treated with cone excision

Abstract

Paget's disease of the breast is usually localized in the nipple epidermis and the lactiferous duct located near the nipple. However, it is difficult to evaluate the extent of the lesion. Therefore, such patients usually have a mastectomy. We report 4 cases of Paget's disease of the breast without underlying invasive carcinoma or DCIS. Based on CT scan and MRI findings, the patients had cone excisions. CT scan and MRI of the breast were very useful for evaluating the extent of the tumor and deciding on the appropriate surgical procedure in these patients with Paget's disease.