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  Vol. 144 No. 12, December 2008 TABLE OF CONTENTS
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VIGNETTES
Paget Disease in a Man

Mike Bernardi, MD; Alia Sampson Brown, MD; Janine C. Malone, MD; Jeffrey P. Callen, MD

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Since the initial description in 1874,1 mammary Paget disease has remained a rare disease that accounts for 1% to 5% of all breast cancers and may be associated with underlying breast malignant neoplasm.2, 2-4 It is uncommon in men. To our knowledge, only 1 other case of the disease occurring in a man has been reported in the absence of an underlying breast carcinoma.3

Report of a Case

A 52-year-old man was referred for evaluation of a lesion on the right nipple. His nipple had become discolored, indurated, and pruritic for the past year and a half. Medical, family, and social histories were unremarkable. Physical examination revealed a 3 x 4-cm, scaly, indurated plaque obscuring the normal architecture of the right nipple (Figure 1). Lymphadenopathy was absent.


 
Figure appears in full text version.
Figure 1. Clinical photograph taken at the time of our patient's . . . [Full Text of this Article]



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