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Paget Disease of Breast — SCE Dermatology MCQ

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HardSkin CancerPaget Disease of BreastSCE Dermatology

Biopsy confirms mammary Paget disease, but examination and mammography show no underlying mass. Which imaging modality is most useful for detecting occult ductal carcinoma or defining disease extent?

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Correct answer: A — Contrast-enhanced breast MRI

Breast MRI is sensitive for occult ductal carcinoma and can define the extent of disease when mammography and examination are unrevealing. Management still requires breast-specialist multidisciplinary assessment because Paget disease is frequently associated with ductal carcinoma in situ or invasive carcinoma.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines