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 Dr. David Your Own Question
Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 42837
Experience:  Experienced Oncology Physician trained in New York City. I'm ready to help.
41363181
Type Your Oncology Question Here...
Dr. David is online now
A new question is answered every 9 seconds

Occasionally I notice white dry skin on the side on my nipple.

Customer Question

Occasionally I notice white dry skin on the side on my nipple. Not the tip. Not the aerola. The side in the crease between the two.
I'm 30. I have had a Breast Sonogram in December which was clear.
Should I worry about Paget's disease?
Submitted: 1 year ago.
Category: Oncology
Expert:  Dr. David replied 1 year ago.
Hello, this is Dr. David. I have read your question and I'm ready to help.
this most likely is just dry skin dermatitis or a mild skin fungal infection
you should not be worried about pagets disease.
Customer: replied 1 year ago.
Ok. I have noticed this a time or two now in the last 3-4 months. No changes other then dry sideI had ultrasound done in December. With a breast specialist. I know my breasts were clear of invasive cancer. But ultrasound can't see DCIS, right? And pagets is from extensive DCIS?Also, is pagets usually just a dry nipple? Or what could I look out for? Is it common in young women
Expert:  Dr. David replied 1 year ago.
you don't have breast cancer.
you have a severe anxiety disorder worrying about breast cancer.
pagets is not from extensive DCIS
pagets is a low grade skin adenocarcinoma growing on the skin
you are 30 some years old
you don't have to worry about breast cancer.
you need to stop touching and feeling your breast.
pagets is not just a "dry nipple"
it is not common
you don't have to look out for pagets disease.
Customer: replied 1 year ago.
Ok. I read online that pagets is generally always found with cancer in the breast.What does low grade mean?Also, is a dry nipple skin common? The only online info is pagets. I don't have soreness. Ulceration. Or itching. I do swim a lot. Live in a hot. Humid climate and sweat.I'm concerned.
Expert:  Dr. David replied 1 year ago.
you are most likely touching and rubbing your nipples frequently and this is causing dry skin.
you need to stop doing this
your anxiety is not well controlled.
you have a severe anxiety disorder about having breast cancer.
you need to talk to your doctor about more treatments for your anxiety symptoms
Customer: replied 1 year ago.
I understand. But I'm asking specific questions and you aren't answering them. You're just telling me I have anxiety.My ultrasounds would have seen invasive cancer. But not DCIS.Is DCIS a common finding and is considered cancer, correct?The dry nipple on the side only peels when I rub what I see. Then more skin kinda rubs off. It's white dry like skin. I put eczema lotion on yesterday and today I noticed the skin aagin. So I'm just scared.
Expert:  Dr. David replied 1 year ago.
your ultrasound would have seen invasive cancer or DCIS
you don't have either.
DCIS is pre-cancer and not a lethal cancer.
you need to stop rubbing your nipples
you are causing dry skin on your nipples
this dry nipple is not pagets disease
you don't have breast cancer.
Customer: replied 1 year ago.
Ultrasound can see extensive DCIS?
Expert:  Dr. David replied 1 year ago.
yes, ultrasound can see extensive DCIS
Customer: replied 1 year ago.
Could you please tell me how pagets presents so I can be aware
Expert:  Dr. David replied 1 year ago.
pagets diseases causes severe extensive thickening and crusting of the whole nipple and areola area.
Customer: replied 1 year ago.
Ok and how quickly does it develop. Would there by chnage in my nipple since April?
Expert:  Dr. David replied 1 year ago.
it takes years to develop
no, you would not have developed it since april
it is slow growing since it is a low grade adenocarcinoma of the nipple
Customer: replied 1 year ago.
Ok. So my nipple can be dry for months and years and get worse and worse?
Customer: replied 1 year ago.
Is it deadly like regular breast cancer
Expert:  Dr. David replied 1 year ago.
pagets disease is a slow growing disease.
you don't have it
the ultrasound would have been able to pick it up
Customer: replied 1 year ago.
You say slow growing so I'm wondering if takes years for the skin dryness to turn into scabs
Customer: replied 1 year ago.
I believe that ultrasound doesn't see pagets. Only punch biopsy does.
Expert:  Dr. David replied 1 year ago.
skin driness doesn't turn into scabs and turn into pagets
we don't know why some people get pagets
you need to stop rubbing and touching your breast.
you need to see a psychotherapist and work on this.
ultrasound sees thicking of the skin of the nipple and areola which is a sign of pagets
don't tell me what detects cancer or doesn't
Customer: replied 1 year ago.
I'm just trying to understand.Is pagets surviveable and is DCIS slow growing and surviveable
Expert:  Dr. David replied 1 year ago.
yes, pagets and DCIS are both curable and treatable.
please leave positive rating below the chat box so I can get credit for
Thanks for using JustAnswers.com
Customer: replied 1 year ago.
Ok. So my worst case situation could be one of those.
Are ultrasounds generally a reliable study for cancers small size in breast tissue
Customer: replied 1 year ago.
I'm sorry. My last question. With pagets of the nipple, would the nipple skin feel thickened like a scab? Would it be sore/itchy?
Customer: replied 1 year ago.
Hello?
Expert:  Dr. David replied 1 year ago.
Ultrasounds are reliable to detect DCIS and breast cancer and pagers disease, even small cancers
The whole nipple and areola would be thickened with Paget's disease
Your doctors have checked you for all of this before
You don't have breast cancer
Customer: replied 1 year ago.
Yes. They did but it's been 6 months.
Expert:  Dr. David replied 1 year ago.
You wouldn't have new cancer in 6 months
Customer: replied 1 year ago.
Dr David, the white dry skin on the sides of my nipples is on both nipples.
Does that eliminate pagets?What could cause this? Excess swimming? It's not flakey but I do sometimes notice small tiny little dots or flakes in my bra.
Have for a long time.
Expert:  Dr. David replied 1 year ago.
yes, that eliminates pagets
you don't have pagets
excessive swimming can dry the skin
if you keep rubbing your breast or nipples that can dry the skin.
your anxiety is making you touch your breast and nipples way too much.
you need to stop doing that.
Customer: replied 1 year ago.
Yeah I've been squeezing them to check for abnormal discharge. It is just milky discharge that comes up from each side. I was worried and had that tested for microscopic blood and there was none. Also my blood and hormones were tested. And that was normal. I just have easil t expressed milk from having a child I guess?
Expert:  Dr. David replied 1 year ago.
I have told you before you need to stop squeezing them.
you are causing this dry skin yourself.
Customer: replied 1 year ago.
Other then a prolactinoma..is whitefish cloudy discharge concerning?
Expert:  Dr. David replied 1 year ago.
you don't have a prolactinoma
you are causing this breast discharge yourself
you need to stop squeezing your breast.
Customer: replied 1 year ago.
Is breast discharge normal when squeezed?
Expert:  Dr. David replied 1 year ago.
yes, the way you are constantly squeezing your breast.
you need to stop this.
Customer: replied 1 year ago.
What is the length of time a breast ultrasound is "good" for? Meaning, safe period of time. I am 30. I had an ultrasound in September, October and then December.
Expert:  Dr. David replied 1 year ago.
I have told you this already
you don't need another breast ultrasound until you are 40 years old
so it is good for 10 years for you.
but your severe anxiety I'm sure will force you to get more breast ultrasounds in that time.
Customer: replied 1 year ago.
How do you give someone a 10 year grantee???
Customer: replied 1 year ago.
Guarantee
Expert:  Dr. David replied 1 year ago.
you are looking for guarantees, you should buy a car
there are never guarantees in medicine.
even if you didn't have anxiety disorder, no doctor can give you a guarantee.
you need treatment for your anxiety disorder is what you need.
Customer: replied 1 year ago.
You are saying I don't need to go for 10 years.I don't want a guarantee. I want factual amount of time that I'm safe from developing cancer since my last screening
Expert:  Dr. David replied 1 year ago.
you are safe for one full year guaranteed that you won't get breast cancer in 365 days until your next breast ultrasound.
Customer: replied 1 year ago.
Thanks. And then at 35/40 when I would go yearly.My chances under 35 are low based on age and history, right
Expert:  Dr. David replied 1 year ago.
yes, you can go yearly after age 35.
yes, chances are low based on your age and history
please leave positive rating below the chat box so I can get credit for helping you today
Thanks for using JustAnswers.com

Related Oncology Questions