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Janine2013's avatar
11 years ago

What on earth is Paget's Disease of the Nipple

Thursday, 21 March 2013

What on earth is Paget's Disease of the Nipple?

 
Firstly let me tell you I'm not an expert on Early Breast Cancer, but am becoming very familiar with a rare form of breast cancer called Paget's Disease of the Nipple. 

Never heard of it? Me either until a few weeks (two years) ago.....

So in the middle of January 2013, I had recently turned 52 and was in good health, not on any medication, perfect blood pressure, slightly high cholesterol but on the good side, and a high-ish sugar level, but nothing majorly wrong.

Since then I have undergone several mammograms, an ultrasound, a biopsy, two operations including a partial central mastectomy, and have just undergone my first session of chemotherapy - all within 2 months.

What is Paget's Disease of the Nipple?

"Paget's Disease of the Nipple is a rare form of breast cancer that affects the nipple and the area around the nipple (the areola) and is commonly associated with an invasive cancer elsewhere in the breast." According to Cancer Australia.
 
Around 2 out of every 100 cases of breast cancer involves Paget's disease of the nipple, so trust me, I can't just be like everyone else and get normal breast cancer I have to get a rare type!!!
 

What are the Signs & Symptoms?

The main signs of Paget's disease of the nipple is a change in the nipple and/or areola, including:
  • the nipple area might become hard, lumpy or crusty - it may look like dermatitis or eczema
  • the nipple area might appear red or angry-looking
  • there may be an ulcer
  • the nipple might flatten out, or turn inwards (invert)
  • there may be a discharge or bleeding from the nipple
  • the area might feel itchy or sore
  • there may be a lump in the same breast
As for me? Well for a couple of months I'd noticed a slight rash around my left nipple, that came and went, it was itchy and I did think it was like a dermatitis. After all, it was summer, hot, and if I put Paw Paw ointment on it went away. The nipple was a little flatter, but that was it. 
 
As far as I was concerned there was nothing to worry about, it was just a heat rash, but I was wrong, and it worries me that 1 in 9 women will be diagnosed with early breast cancer, and if my blog encourages more women to go and get a bi-annual mammogram and stops them having to go through what I am then it will all be worth it.
 
My blogs will go through my journey, but I want to expand on the health theme and include things like natural products, healthy foods, the types of services and organisations to help people (and their friends and family) deal with a diagnosis of cancer. 
 
This blog has been a bit full of dry information, usually my style is a bit more chatty, as though we are sitting chatting over a coffee or a glass of wine (oops, can't drink either at the moment....more on that soon...) but for those who, like me, had never heard of this rare breast cancer I thought it was important to get some facts out of the way soon.
 
I'll try and write a new blog a few times a week, but you will have to excuse me if I'm a bit erratic as I'm not sure yet how well I'm going to feel on a day to day basis, but I'll do my best.
 
Catch you soon,
Janine
 
PS. As you may have noticed I wrote this 2 years ago and have just received my 2 year all clear with a referral to get a breast reconstruction. I figured it was worth re-sharing as it was never put on BCNA online, hope it helps!!! 

2 Replies

  • HI Susan, I was extremely lucky that my GP wasted no time and sent me straight to a surgeon who is a breast cancer specialist. When I told him the symptoms he said I described Paget's Disease exactly, within 2 weeks I was being operated on. The tumour itself was quite small, but the cancer had spread to my lymph nodes, hence the months of treatment that followed.

    But like you, I'm about to undergo reconstruction which is exciting but a little worrying that it involves yet more operations.

    I wish you every success with your reconstruction and a swift recovery.

    Janine xxx

  • Hi Janine, yes two years ago I was also diagnosed with Paget's and found little support or understanding. Breast screen Australia took a long time to diagnose. Dr Google and I diagnosed it first. Double mastectomy later and currently undertaking reconstruction.