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PAGET'S DISEASE OF THE NIPPLE. Presented by Dr. Williams.
Mrs. A. W., aged 45 years, was born in the United States and had always lived here. About three years ago she noticed a little blood under the skin over the right areola of the breast. The blood oozed out and has flowed intermittently with admixture of pus ever since. She presented a round lesion on the right breast about an inch in diameter, with a fairly sharp marginated border and erythematous eroded surface. The nipple was entirely retracted. There was no adenopathy of the axillae and only a slight infiltration of the skin lesion. There were no definite nodules in the breast. The patient had nursed both her children; the youngest one was about 19 years old. She still menstruated.
Dr. Pollitzer said there was no question about the diagnosis or about the treatment—operation at the earliest possible moment.
Fox H. NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY AND SYPHILIS. Arch Derm Syphilol. 1921;3(4_PART_1):463–475. doi:10.1001/archderm.1921.02350160118014
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