title: Paget disease of a nipple graft following completion of a breast reconstruction with a nipple-sharing technique.
abstract: Surgical treatment of breast cancer can have a profound impact on patients both physically and psychologically. Postmastectomy breast reconstruction can significantly decrease the psychologic distress that a breast cancer patient experiences. Whereas breast mound reconstruction was initially thought to be sufficient, surgeons and patients have recognized the importance of nipple-areolar reconstruction. The following is a case report of a patient who developed Paget disease of a left nipple graft after left mastectomy and reconstruction with a TRAM flap and nipple sharing from the right breast. This case report provides a unique 14-year retrospective review of a clinical course and to our knowledge is the first reported case in the English literature of Paget disease developing in a nipple reconstructed from the contralateral nipple using the nipple-sharing technique.
authors.affiliation: Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA. cbasu@bcm.edu
authors.forename: C Bob
authors.initials: CB
authors.lastname: Basu
authors.forename: Melissa
authors.initials: M
authors.lastname: Wahba
authors.forename: Jamal M
authors.initials: JM
authors.lastname: Bullocks
authors.forename: Richard
authors.initials: R
authors.lastname: Elledge
mesh_terms: D001943:Breast Neoplasms / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D016462:Mammaplasty / Q000009:adverse effects*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000209:etiology*; D009558:Nipples / Q000637:transplantation*; D010144:Paget's Disease, Mammary / Q000209:etiology* / Q000473:pathology / Q000601:surgery