Q4. Boala Paget mamara, un martor cutanat care nu trebuie confundat
Boala Paget este o afectiune scuamo-crustoasa a regiunii areolare, datorata invaziei epidermului de catre celule straine provenite dintr-un carcinom mamar localizat intracanalicular. Se asociaza cu 3-5% din cancerele de san. Apare mai ales la femei dupa menopauza, media varstei fiind de 54 de ani. Exista si cazuri masculine.
Boala poate fi confundata, in urma unui examen clinic mai superficial cu afectiuni benigne cum sunt: eczeme, leziuni fungice, lichenificari, piodermite, prurigo, etc. Pentru stabilirea diagnosticului de certitudine se impune efectuarea examenului histo-patologic.
Boala Paget mamara reprezinta un martor cutanat important al unui posibil proces prolferativ neoplazic, a carei diagnosticare precoce joaca un rol important in atabilirea conduitei terapeutice ulterioare.
Q4. Mammary Paget's Disease a Cutaneous Witnes Which is not to be Confunded
MPD is a scaling-crusting affection of areolar area due to epidermal invasion with foreign cells, which come from mammary intracanalicular carcinoma. It is associated with 3-5 from the mammary cancers. It mostly appears in postmenopaused women, medium age of 54 years. There are a few male cases.
The disease can be confused by a superficial clinical exam with benigne affections like: czema, fungical lesions, pyodermitis, prurigo, lichenifications. For establishing the certitude diagnosis an histopathological exam must be done.
MPD represents an omportant cutaneous witness of a possible neoplastic proliferative process, whose early diagnostication plays an important role in establishing a previous therapeutical conduct.