Understanding Breast Surgery Options for Paget Disease
Published: Jul 02, 2024
Choosing the right surgery for Paget disease can be life-changing. Here's what you need to know about your options.
Contents
Mastectomy: When It's Necessary
Mastectomy involves removing the entire breast and is often necessary when the cancer is widespread. It's a common choice if the tumor is far from the nipple-areolar complex, or if breast conservation would not yield a good cosmetic result. Sometimes, patients opt for mastectomy due to personal preferences or high risk factors.
Breast-Conserving Surgery: Keeping It Simple
This option involves removing the tumor and some surrounding tissue, preserving most of the breast. It works well if the cancer hasn't spread far, and when paired with radiotherapy, it offers results comparable to mastectomy. It's a popular choice for those who want to maintain breast appearance.

Radiotherapy: A Partner to Surgery
Following breast-conserving surgery, radiotherapy helps eliminate residual cancer cells. It's critical for reducing recurrence and improving survival rates. Patients with invasive cancer almost always receive it, while those with ductal carcinoma in situ might have different options.
Frequently Asked Questions
It's the removal of the entire breast.
It removes only the tumor and some tissue.
It reduces cancer recurrence risk after surgery.
Discuss options with your doctor to decide the best choice.
Wrapping Up
Your choice of breast surgery should balance medical advice and personal priorities.
References
- Chen CY, Sun LM, Anderson BO. Paget disease of the breast: changing patterns of incidence, clinical presentation, and treatment in the U.S. Cancer 2006; 107:1448.
- Wong SM, Freedman RA, Stamell E, et al. Modern Trends in the Surgical Management of Paget's Disease. Ann Surg Oncol 2015; 22:3308.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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