How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask DocPhilMD Your Own Question
DocPhilMD, Medical Doctor
Category: Oncology
Satisfied Customers: 55169
Experience:  Internal Medicine Doctor
Type Your Oncology Question Here...
DocPhilMD is online now
A new question is answered every 9 seconds

Oncologist Please!!!!

Customer Question

Sometimes if I rub over my nipple back and fourth, some dry particles/skin will rub off the sides. Both nipples but mainly the left I notice more.
No itching or pain or anything. Last time I noticed this was in March.
Could this be pagets? Should I see a breast surgeon ?
My last breast ultrasound and exam was in December.
last year, for a completely separate issue. I had breast ultrasounds with a surgeon every 3 months for continuity of care. So I went May through December every 3 months. Last was seen in December and dismissed with clear breast tissue. I am 30. My original reason for going was a lump that was a fat lobule.
My question here is, if this was pagets- it wouldn't be surfacing from an invasive cancer because that would have been seen by ultrasound in December. If this is DCIS causing pagets, would it be stagnant for months and be randomly a little dry?
No other nipple issues. Generally lotion or vitamin e oil will stop the dryness.
Submitted: 2 years ago.
Category: Oncology
Expert:  DocPhilMD replied 2 years ago.
any other medical problems?
Customer: replied 2 years ago.
Expert:  DocPhilMD replied 2 years ago.
If this was anything serious it would have shown up in one of the tests. This sounds like a skin condition. Possibly eczemaI would see a dermatologist and not an oncologist
Customer: replied 2 years ago.
Ok. Pagets online says that it would cause scaling and all that. After I put lotion on in March- I never noticed another issue. So it would have gotten worse since March..correct?
Something cancerous causing pagets would have been seen in the ultrasound, correct?
Expert:  DocPhilMD replied 2 years ago.
yes, correct and paget's doesn't go away with lotion. Also it would have been seen on ultrasound
Customer: replied 2 years ago.
Right. DCIS wouldn't be seen on ultrasound though- but I'm only 30 with no family history so I don't know if DCIS would be common for me.
Then there's true pagets which is very treatable and not related to cancer in the breast.
But that's very rare. So I'm hoping I am
Ok. My health fears have really been crazy.
Expert:  DocPhilMD replied 2 years ago.
DCIS wouldn't cause skin changes though. I think you are totally fine. I'm not worried
Customer: replied 2 years ago.
I read online that pagets appears in the nipple. And it's from DCIS in the breast, coming through the nipple
But maybe I'm reading it wrong.
Expert:  DocPhilMD replied 2 years ago.
I think you are You would need a more advanced tumor to cause paget's And you have had a mammogram recently correct?
Customer: replied 2 years ago.
I had a 3-d ultrasound with a breast surgeon here where I live 4 times. He didn't do a mammo because I was young and he said a 3d is his preferred study for my young dense breasts.
Expert:  DocPhilMD replied 2 years ago.
I totally agree. You are clear. no further workup needed
Customer: replied 2 years ago.
Ok. And is there a period of time I should be ok with no fearing of cancer? Is that good for a year?
Expert:  DocPhilMD replied 2 years ago.
1 year. exactly
Customer: replied 2 years ago.
Ok. I do my monthly checks. I just want to know that after all those tests. And being 30. That I can relax a little until I'm 35 and get a baseline.
Expert:  DocPhilMD replied 2 years ago.
You can relax. Yes. I'm sure of it
Customer: replied 2 years ago.
Ok. So in order to have pagets..I would have to have an invasive tumor. Which I don't have. So I couldn't have pagets. Unless it was true pagets which is treatable
Expert:  DocPhilMD replied 2 years ago.
Expert:  DocPhilMD replied 2 years ago.
please don't forget a positive rating. I appreciate it
Expert:  DocPhilMD replied 2 years ago.
I noticed that our chat is not complete.

My main goal is your 100% satisfaction and for you to consider this service excellent. If you are not 100% satisfied, just click reply and I will happily provide more information.

Related Oncology Questions