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Breast Cancer/Pagets disease of the nipple

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Question
I have had two biopsies, one on the nipple which stated 'appearances are those of Pagets disease' and the other, a seriotactic, two at the same time as they had difficulty in obtaining a sample,(14 samples were taken ) which came back as no calcifications were seen but the tissue looked abnormal, but not enough to confirm a definate diagnoses, however, suspicious.
My nipple did originally 'leak', very little, every now and then. I have no lumps, no discolouration of the nipple or aereola, no redness or swelling, no pain.  I have been recommended to have a mastecomy as the area of califications they biopsied is at the side and inwards from the nipple. I am not sure what to do, i am very confused as to is it cancer? if early cancer, do i need to have such drastic surgery? i would appreciate your thoughts about this.

Answer
If the nipple biopsy showed Paget's disease of th nipple then it is a cancer. Obviously it is, based on the vague other results, difficult to know how big your tumour is. Perhaps an MRI breast scan can be of help here. Otherwise I have to support the mastectomy suggestion. Good luck!


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Claes-Gustaf Nordquist, M.D.

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I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.

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I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps.You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions on the number of questions there.

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