A 55-year-old female presents to the clinic with an eczematous rash over the nipple of 6- months duration. She tried an antibiotic and topical steroid cream with no response. On exam, she's afebrile and has mild tenderness over the area. The most appropriate next step in management would be:
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Punch (incisional) biopsy
A persistent eczematous nipple rash that does not respond to treatment in an older woman is Paget's disease until proven otherwise. The lecture gives the diagnosis as scrape cytology or punch biopsy. Excision of the nipple-areola complex or mastectomy is treatment and only follows a confirmed diagnosis. More antibiotics only delay diagnosis.
- المصدر
- Breast - Afnan.pdf · p. 10
- المحاضرة
- Breast · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 235 Q93