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False about Paget disease of the nipple:

A
Leads to destruction of whole nipple
B
It is an eczematous condition
C
Associated with underlying carcinoma
D
Associated with poor prognosis
High-Yield Explanation
Ans: b (It is an eczematous condition) Ref: Bailey, 24th ed, p. 837Paget's disease of nippleIs a superficial manifestation of an underlying carcinoma(DCIS or invasive ductal carcinoma)It presents as an eczema - like condition of nipple and areola, which persists despite local treatment.Nipple is eroded slowly and eventually disappears (poor prognosis)- Microscopy - Characterised by presence of large, ovoid cells with abundant clear, pale-staining cytoplasm in the Malpighian layer of epidermis.Eczema of nipplePaget disease of nipple- Often bilateral- Unilateral- Is often seen during lactation- Is seen at menopause- Itches- Does not itch- Vesicles present- No vesicles found- Nipple remain intact- Nipple may be destroyed- No lump felt deep to nipple- May feel a lump deep to the nipple

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