1- Department of General Surgery, Tonekabon Branch, Islamic Azad University, Mazandaran, Iran , dr.mpouya@gmail.com 2- Department of General Surgery, Tonekabon Branch, Islamic Azad University, Mazandaran, Iran
Abstract: (5547 Views)
Background & aim: Due to the high association of ductal carcinoma in situ with breast and non-invasive breast disease, if properly diagnosed and treated in a timely manner, the disease has a good prognosis and can improve and prevent disease invasion. The aim of this study was to identify and diagnose a case of non-invasive tumor of the nipple.
Case Introduction: The patient was a 39-year-old women who was presented with superficial ulcers and bloody discharge from the left nipple. Examination of the left nipple had shiny tissue and superficial ulcers, and no palpable mass. The patient had a history of 2 pregnancies with 2 live children and after the first delivery, used birth control pills for 5 years. The patient did not recover after a week of eczema treatment, and a nipple sample was taken, where Paget's disease and ductal carcinoma were reported. He then underwent breast maintenance surgery and a biopsy of the exfoliating lymph node. In the first week after surgery, she developed extensive hematoma at the site of surgery, which reduced the swelling of the breast by emptying the hematoma. The patient underwent mastectomy surgery and externalization of the axillary lymph nodes due to the extent of localized ductal carcinoma.
Conclusion: Due to the clinical manifestations of breast disease, it is necessary to pay attention to breast manifestations even at a young age and the necessary studies to diagnose possible malignancies and further investigation, even in cases of local carcino