Paget's Disease of the Nipple

History:
This woman presents with a bloody discharge from the nipple of the left breast during the past two months. Mammography demonstrated increasing asymmetric opacity in the left retroareolar space.

2D Ultrasound: A spicular mass in the retroareolar space.

Color Power Angio: Neovascularity in the retroareolar mass.

Pulsed Doppler: PI= 1.4 RI =0.7 PSV =25 cm/s

The above findings are consistent with Paget's disease of the nipple (ductal carcinoma).


Adnan Tunbilek, MD
Istanbul, Turkey.