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April 1965


Arch Dermatol. 1965;91(4):407-409. doi:10.1001/archderm.1965.01600100123030

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Carcinoma of Areola and Nipple of the Breast: Paget's Disease Versus Carcinoma in Situ. Presented by Drs. Laurence J. Underwood, and Walter S. Green. 

History.—  The patient is a 58-year-old married Caucasian stenographer. There has been a persistent and slowly enlarging lesion on the right areola and nipple for almost 12 months. Slight itching and occasional serous drainage, but no bleeding has been noted.There is a past history of a pruritic, vesicular dermatitis on arms following the exposure to sunlight, but no other eczematous process. In 1957, I noted a minor psoriasiform patch on one elbow, but no other features of psoriasis.

Findings.—  Small, superficial, slightly elevated, smooth reddish plaque on the upper portion of the areola and nipple of the right breast. Minimal scaling was present on medial side of plaque. There was no involvement of the adjacent skin, nor induration or masses below the plaque.Should a

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