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[How to explore breast skin lesion?: Guidelines].
J Gynecol Obstet Biol Reprod (Paris). 2015 Dec; 44(10):921-6.JG

Abstract

A change in the shape or appearance of the nipple-areola complex, especially if it is unilateral and recent appearance, is a sign of underlying breast tumor. Breast imaging is then required (grade C). Any erythematous lesion of the nipple or nipple-areola can be a Paget's disease, an adenoma of the nipple or a nipple eczema. Clinical course and pattern can point to a diagnosis without sufficient specificity (LE4). If nipple eczema is suspected, it is recommended to perform a test treatment with topical corticosteroids. In case of failure or if a Paget's disease of the breast is suspected, a biopsy must be done. When indicated, it is not possible to recommend a biopsy modality (scrape cytology, punch biopsy, nipple core biopsy and surgical excision) compared to another. When imaging exploration of the nipple-areola complex is necessary, ultrasound and mammography are recommended as first-line. In the absence of signal, an MRI is recommended as second-line (grade C).

Authors+Show Affiliations

Service de chirurgie gynécologique, cancérologie gynécologique et mammaire, clinique de gynécologie, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France. Electronic address: loic.boulanger@chru-lille.fr.Service de chirurgie gynécologique, cancérologie gynécologique et mammaire, clinique de gynécologie, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.

Pub Type(s)

Journal Article
Review

Language

fre

PubMed ID

26527029

Citation

Boulanger, L, and J Demetz. "[How to Explore Breast Skin Lesion?: Guidelines]." Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction, vol. 44, no. 10, 2015, pp. 921-6.
Boulanger L, Demetz J. [How to explore breast skin lesion?: Guidelines]. J Gynecol Obstet Biol Reprod (Paris). 2015;44(10):921-6.
Boulanger, L., & Demetz, J. (2015). [How to explore breast skin lesion?: Guidelines]. Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction, 44(10), 921-6. https://doi.org/10.1016/j.jgyn.2015.09.040
Boulanger L, Demetz J. [How to Explore Breast Skin Lesion?: Guidelines]. J Gynecol Obstet Biol Reprod (Paris). 2015;44(10):921-6. PubMed PMID: 26527029.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [How to explore breast skin lesion?: Guidelines]. AU - Boulanger,L, AU - Demetz,J, Y1 - 2015/10/31/ PY - 2015/09/12/received PY - 2015/09/18/accepted PY - 2015/11/4/entrez PY - 2015/11/4/pubmed PY - 2016/9/16/medline KW - Dermatose KW - Dermatosis KW - Eczema KW - Eczéma KW - Maladie de Paget du mamelon KW - Nipple-areola complex KW - Paget's disease of the nipple KW - Plaque aréolomamelonnaire SP - 921 EP - 6 JF - Journal de gynecologie, obstetrique et biologie de la reproduction JO - J Gynecol Obstet Biol Reprod (Paris) VL - 44 IS - 10 N2 - A change in the shape or appearance of the nipple-areola complex, especially if it is unilateral and recent appearance, is a sign of underlying breast tumor. Breast imaging is then required (grade C). Any erythematous lesion of the nipple or nipple-areola can be a Paget's disease, an adenoma of the nipple or a nipple eczema. Clinical course and pattern can point to a diagnosis without sufficient specificity (LE4). If nipple eczema is suspected, it is recommended to perform a test treatment with topical corticosteroids. In case of failure or if a Paget's disease of the breast is suspected, a biopsy must be done. When indicated, it is not possible to recommend a biopsy modality (scrape cytology, punch biopsy, nipple core biopsy and surgical excision) compared to another. When imaging exploration of the nipple-areola complex is necessary, ultrasound and mammography are recommended as first-line. In the absence of signal, an MRI is recommended as second-line (grade C). SN - 1773-0430 UR - https://www.unboundmedicine.com/medline/citation/26527029/[How_to_explore_breast_skin_lesion:_Guidelines]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0368-2315(15)00280-X DB - PRIME DP - Unbound Medicine ER -