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