Do you need chemo for Paget's disease?

After your operation, your doctor may recommend additional treatment (adjuvant therapy) with anti-cancer drugs (chemotherapy), radiation therapy or hormone therapy to prevent a recurrence of breast cancer.

Is Paget's disease considered cancer?

Paget disease of the breast (also known as Paget disease of the nipple and mammary Paget disease) is a rare type of cancer involving the skin of the nipple and, usually, the darker circle of skin around it, which is called the areola.

How treatable is Paget's disease?

There's currently no cure for Paget's disease of bone, but treatment can help relieve the symptoms. If you do not have any symptoms, your doctor may suggest keeping an eye on your condition and delaying treatment until any problems occur.

Is Paget's disease cancer curable?

Paget's disease of the breast is treatable, especially when diagnosed at an early stage. The prognosis (survival rate) depends on various factors, such as the type of underlying cancer (ductal carcinoma in situ or invasive breast carcinoma) and stage of cancer (in case of invasive breast cancer).

Can you survive Paget's disease?

The outlook for people with Paget's disease of the breast depends on where cancer is located. For people with underlying cancer in the breast, survival rates decline as the stage (how far it has spread) of that cancer increases. If cancer has not spread to surrounding tissue, the outlook is excellent.

Paget's Disease Of The Spine - Everything You Need To Know - Dr. Nabil Ebraheim

Is Paget's disease serious?

Over time, enlarged or misshapen bones can stress nearby joints leading to osteoarthritis in those joints. In very rare cases, Paget's can turn into a life-threatening cancerous bone disease. Severe Paget's disease may cause damage to the heart.

What is the life expectancy of someone with Paget's disease?

In that study, the British General Practice Research Database identified 2465 patients diagnosed with Paget's disease of bone from 1988 to 1999; retrospective review indicated that 5-yr survival was 67% in patients with Paget's disease compared with 72% in control patients.

How quickly does Pagets disease progress?

Mammary Paget's disease is associated with carcinoma of the underlying lactipherous ducts. The skin lesions progress slowly over months as scaly, fissured, or oozing erythema of the nipple and areola. Advanced lesions may appear as well-demarcated, eczema-like plaques with a pink or red hue.

What are the stages of Paget disease?

Three phases of Paget disease have been described: lytic, mixed lytic and blastic, and sclerotic. In an individual patient, different skeletal lesions may progress at different rates. Thus, at any one time, multiple stages of the disease may be demonstrated in different skeletal regions.

How do you get rid of Paget's disease?

If you're diagnosed with Paget's disease of the nipple, surgery is often the first type of treatment you'll receive. The 2 main types of surgery are: mastectomy – surgery to remove the whole breast, which can be followed by reconstructive surgery to recreate the removed breast.

What are the long term effects of Paget's disease?

If Paget's disease of bone affects the skull, there's a significant risk that it could lead to permanent hearing loss and possibly total deafness. This can occur as a result of damage to the bones or nerves that connect the ears to the brain.

What is the first line treatment for Paget disease?

Bisphosphonates are first-line therapy for Paget's disease, and the advent of the new bisphosphonates permits a dramatic improvement in treatment.

Can Paget's disease metastasis?

Invasive extramammary Paget's disease (EMPD) is highly metastatic to lymph nodes and other organs, including bone, and when metastatic lesions have expanded beyond the inguinal lymph node, it is difficult to cure.

Can you have Paget's disease without cancer?

Paget's disease is a sign that there might be breast cancer in the tissues behind the nipple. It is possible for someone to have Paget's of the breast with no underlying cancer but this is less common. About half of the people diagnosed with Paget's disease have a lump behind the nipple.

What type of cancer is Paget's disease?

Paget's disease is a rare form of breast cancer which causes skin changes in the nipple area (bleeding, itching, flaking, and nipple discharge) and accounts for fewer than 3% of all breast cancers. Often, Paget's is mistaken for eczema or an infection before the correct diagnosis is made.

What does Paget cancer look like?

Symptoms of Paget's disease of the nipple

Paget's disease of the nipple always starts in the nipple and may extend to the areola. It appears as a red, scaly rash on the skin of the nipple and areola. The affected skin is often sore and inflamed, and it can be itchy or cause a burning sensation.

Does Paget's disease cause fatigue?

When Paget's disease is active in several bones, overactive osteoclasts may release enough calcium from the bone as they break it down to cause an elevated calcium level in the blood. This rare complication can lead to a number of symptoms, including: Fatigue. Weakness.

What virus causes Paget's disease?

In most cases, no specific cause for Paget's disease can be identified (sporadic). Research findings suggest that Paget's disease may be related to a “slow virus” infection of bone, a condition that is present for many years before symptoms appear.

Is Paget's disease an autoimmune disorder?

Paget's disease of bone is a chronic autoimmune inflammatory disease that leads to an increase in bone reabsorption. While depression is extensively described in Paget's disease, affecting up to 50% of patients, the prevalence of manic episodes is unknown.

How do you tell if you have Paget's disease?

Can Paget's disease of breast be cured?

Paget disease can be treated by removing the entire breast (mastectomy) or breast-conserving surgery (BCS) followed by whole-breast radiation therapy. If BCS is done, the entire nipple and areola area also needs to be removed. If invasive cancer is found, the lymph nodes under the arm will be checked for cancer.

Do symptoms of Pagets disease come and go?

In most cases, Paget's disease affects one breast, and the symptoms may come and go. This means symptoms may cycle through, appearing to improve and then worsen again. The symptoms may look similar to eczema or other such skin conditions.

Does Paget's disease show up on ultrasound?

Ultrasound is used not only to confirm the mammography findings in a case of Paget's disease, but also when the mammogram is negative. The findings on ultrasound include heterogeneous hypoechoic areas in breast parenchyma, presence of a discrete mass or dilated ducts.

Does Paget's disease respond to steroid cream?

The most common symptom of EMPD is a chronic rash that resembles eczema—only it does not respond to topical steroid creams. The disease can lead to: Itching or burning—with pain and bleeding from scratching of lesions.

How can you tell the difference between Paget's disease and eczema?

Paget's disease may affect your nipple, while eczema rarely affects your nipple. Paget's disease also typically only affects one breast, while eczema affects both breasts and other parts of your chest. Paget's disease won't respond to the same treatments as eczema.