This page is dedicated to organizing various examples of standardized exam questions whose answer is Paget disease of breast. While this may seem a odd practice, it is useful to see multiple examples of how Paget disease of breast will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 55 year old woman comes to the clinic complaining of a strange and itchy rash on her right breast. She explains that it has been present for the last month. She has trie during over the counter corticosteroid cream on the rash, but that has not helped. She takes no medications. She explains that her last menstrual period was 2 years ago. She has a history of hypertension that has improved with weight loss and exercise. Physical examination shows an edematous plaque on the left nipple and areola. What condition does this patient likely have?
Question # 2
A 68 year old woman comes to the clinic for a 4 month follow up. Four months ago she developed an ulcerated rash around her right areola that was pruitic and erythematous. She has been trying to use a 1% hydrocortisone cream on the lesion that was recommended by her PCP, however the lesion has persisted. She has no history of skin diseases. She takes warfarin for chronic atrial fibrillation. She recently began taking HCTZ for hypertension 4 months ago, otherwise she is healthy. What is a possible diagnosis in this patient?
Page Updated: 10.10.2016