Since Paget’s disease of the nipple is essentially a diagnosis of breast cancer per se the treatment is the same as that for any other form of breast cancer which has been diagnosed early enough for surgery.
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The location of any cancer within the breast will determine the type of surgery.
If the cancer is non-invasive, that is, DCIS, then a lumpectomy, followed by radiotherapy may be performed.
If the cancer is far from the nipple, then a mastectomy may be needed to remove the breast lump and the entire nipple.
Drug therapy may be necessary after the mastectomy.
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