Paget's Disease of the Nipple
Paget's disease of the nipple is an uncommon condition that causes red, scaly or crusted changes of the nipple, often resembling eczema. It is important because it is frequently linked to an underlying breast cancer. Any persistent, one-sided nipple skin change should be assessed by a specialist.
What is Paget's disease of the nipple?
Paget's disease of the nipple is a change in the surface skin of the nipple caused by abnormal cells. Because it is commonly associated with cancer in the ducts beneath the nipple, it is treated as a sign that needs prompt and thorough assessment.
How it is diagnosed
Assessment includes examination, imaging (mammogram and ultrasound, sometimes MRI), and a small biopsy of the nipple skin. If a cancer is found, Mr Ghosh discusses treatment, which usually involves surgery. Book via the one-stop clinic.
When to seek medical advice
See a doctor promptly — or call 999 if you feel acutely unwell — if you notice any of the following:
- Persistent nipple skin changes that do not settle with creams
- Changes affecting one nipple only
- A nipple that is bleeding, crusting or ulcerating
- An associated lump or discharge
- New nipple inversion with skin change
Most breast changes are not cancer. But any new or persistent change should be assessed. Our one-stop breast clinic offers same-day specialist assessment.
Frequently asked questions
Is Paget's disease of the nipple cancer?
Paget's disease of the nipple is associated with breast cancer in most cases — either a cancer in the ducts behind the nipple or, less often, an invasive cancer. It always needs specialist assessment.
How is it different from eczema?
Nipple eczema usually affects both nipples and the surrounding skin, and improves with treatment. Paget's disease typically starts on the nipple itself, affects one side, and does not settle. Persistent one-sided nipple changes should be assessed.
How is it diagnosed?
Diagnosis involves examination, imaging and a small biopsy of the nipple skin to confirm.
Related information
Sources
Worried about a breast symptom?
Book a same-day one-stop appointment with Mr Debashis Ghosh, or call our team in confidence.