[Is mammography useful in Paget's disease of the breast?].
OBJECTIVE
Interest of the mammogram in Paget's disease of the breast, especially for a therapeutic decision in otherwise asymptomatic women with Paget's disease, who would be candidates for conservative treatment.


METHODS
61 women with histological Paget's disease of the nipple, treated by mastectomy, were retrospectively analyzed with clinical, radiological and pathological correlations.


RESULTS
An underlying carcinoma was found in 60 cases (98.4%), atypical epithelial hyperplasia in one. In the 24 women without breast palpable mass, 17 (71%) had a normal mammogram, 12 (50%) had carcinoma with an invasive component, 14 (58%) had a cancer at a distance from the nipple, 17 (71%) had a multifocal carcinoma. All 37 women with a palpable mass had a pathological mammogram, 36 of them had carcinoma with an invasive component, 35 (95%) a cancer at a distance from the nipple, 31 (84%) a multifocal carcinoma.


CONCLUSIONS
Mammogram is of limited value in management of Paget's disease of the breast for women without breast palpable mass; it can not predict the site of malignancy, nor the invasive component.
Le Pennec
A
A
Service de Radiologie Générale, C.H. Argentan, Service IRM, C.H.U Caen.
Lacroix
J
J
Fournier
L S
LS
Schmutz
G R
GR
Boute
V
V
Crouet
H
H
Denoux
Y
Y
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D010144:Paget's Disease, Mammary / Q000000981:diagnostic imaging*; D012189:Retrospective Studies