MASTITIS

ABNORMAL NIPPLE

ASIMETRIS SUSPECT MAMMAE CANCER

MAMMOGRAPHY

KALSIFIKASI / OSTEOPOROTIC

METASTASE

PAGETS DISEASE

Sir James Paget th 1874

SURGEON BRITHIS COMMENWELL Mammae or extramammary
TULANG

Dermatitis papilla mammae

EPIDEMIOLOGY
SELURUH DUNIA
MALE < INCIDENCE SELURUH TULANG FEMALE 1,58,5%

PREVALENCE : Famillial Pagets TUBUHTERUTAMA DI

CHRONIC DISEASE CANCER

CAUSA
UNKNOWN
GENETIC VIRUS HORMONAL INBALANCE

CLINICAL SYMPTOM - SIGN

All women, 40 to 60 or more years
began as an eruption on the nipple and areola Very acute diffuse eczeme greater part of the nipple and areole

DIAGNOSIS
CLINICAL SYMPTOM SIGN
PHYSICAL EXAMMINATION ADDITION EXAMMINATION :
RO : USG CT SCAN PA

PAGETS DISEASE TYPES

1. ACUTE DIFFUSE ECZEMATOID Red,

finely granular wet ulceration of the nipple

surface

with

or

without

2. CHRONIC ECZEMATOID Minute vessications succeded by soft, moist yellowish scales and contant viscid exudation 3. PSORIATIC
Dry white desquamating scale wich involve the nipple and may spread to the areola, entire breasts, and the chest wall

4. MASS BENEATH NIPPLE AND AREOLA

No eruption, ulceration, or scaling

MODALITAS TERAPI

SURGERY

RADIOTHERAPY

HORMONAL THERAPY
KHEMOTHERAPY

PROGNOSIS
STADIUM