Paget's Disease of the Breast Presenting as a Local Recurrence Following Breast-conserving Surgery

Paget's disease of the breast is a relatively rare condition. It is accompanied by underlying in situ or invasive carcinoma in most cases. The diagnosis of Paget's disease several years after the conservative surgical treatment of breast carcinoma has rarely been described in literature. Here we report an interesting case of Paget's disease presenting as a local recurrence following breast-conservation treatment for infiltrating ductal carcinoma and glycogen-rich clear cell carcinoma in a 44-year-old woman. Any eczematous changes around the areola-nipple area may remind the local recurrence with Paget's disease following breast-conserving treatment for malignancy. Long-standing erythematous changes should be investigated with prompt pathological evaluations in these patients.