# Mammary Paget’s disease in a young woman: A rare occurrence

## TL;DR

A 47-year-old woman was diagnosed with rare Mammary Paget's disease linked to breast cancer, highlighting the need for thorough imaging and biopsy.

## Contribution

This case report adds to the limited literature on MPD in younger patients and emphasizes multimodal diagnostic approaches.

## Key findings

- MPD was confirmed through histopathology and associated with ductal carcinoma in situ.
- Multimodal imaging (mammography and MRI) was crucial for diagnosis.
- The case highlights the importance of considering MPD in atypical nipple presentations.

## Abstract

Mammary Paget's disease (MPD) is a rare intraepithelial carcinoma involving the nipple-areolar complex, often linked to underlying ductal carcinoma. We report a case of a 47-year-old woman presenting with progressive swelling of the left nipple, without pain, discharge, or inflammatory signs. Imaging revealed ductal dilation and nipple thickening, classified as BI-RADS 4, with MRI confirming additional suspicious findings. Histopathological analysis of a biopsy confirmed MPD associated with underlying ductal carcinoma in situ. This case underscores the importance of multimodal imaging and histopathology in diagnosing and managing this uncommon breast malignancy.