Journal of Cutaneous and Aesthetic Surgery
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CASE REPORT
Year : 2022  |  Volume : 15  |  Issue : 2  |  Page : 196-198

Imprint cytology can be a better option for diagnosis of mammary Paget’s disease!!!: A case report with review


Department of Pathology, IMS and SUM Hospital, S’O’A (Deemed to be University), Bhubaneswar 751003, Odisha, India

Correspondence Address:
Pranita Mohanty
Department of Pathology, IMS and SUM Hospital, S’O’A (Deemed to be University), Bhubaneswar 751003, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCAS.JCAS_145_21

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Mammary Paget’s disease (MPD) is a rare form of pruritic eczematous skin lesion involving the nipple areola complex usually associated with an underlying in-situ or invasive carcinoma of breast, accounting ≤ 4% of overall breast carcinoma. The patient may present with nipple discharge, eczema, plaque, or nipple destruction with or without a lump which is resistant to common remedies. Diagnosis of MPD is usually accomplished by a punch biopsy, but imprint cytology is found to be an effective modern technique yet less explored. Cytological diagnosis is advantageous over surgical excisional biopsy; advantages being easy practicability, cost-effective, quick non-invasive, and above all can lead the physician for breast-preserving surgeries in selective cases rather than more aggressive standard mastectomies. We report one such case of MPD in a 52-year-old female diagnosed on imprint cytology with the aim to emphasize that imprint cytology can be a better option to improve the treatment protocol.


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