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Dense Lichenoid Inflammation in Paget Disease: A Diagnostic Pitfall
Jacqueline Zayas1, Olayemi Sokumbi2
1Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, CO; and.
The American Journal of Dermatopathology
|December 28, 2023
Summary
Mammary Paget disease, a rare breast cancer, presents as a nipple rash and is confirmed by biopsy. This case highlights a misdiagnosis due to inflammation obscuring the cancer, emphasizing the need for vigilance.
Area of Science:
- Oncology
- Dermatology
- Pathology
Background:
- Mammary Paget disease is a rare breast malignancy.
- It typically manifests as an eczematous lesion on the nipple or areola.
- Diagnosis is usually clinical, confirmed by skin biopsy showing malignant cells in the epidermis.

