Breast eczema is breast cancer? Break the panic

Recently, the topic of a #women’s breasts with recurrent eczema symptoms is breast cancer# has been trending.

Image source: Weibo screenshot

The panic has not dissipated, and today a heated discussion about #why breast cancer has eczema# has caused discussion again.

Image source: Weibo screenshot

Many people with eczema on their breasts are trembling: I’m not the kind of breast cancer I haven’t heard of, right?

This disease associated with so-called “eczema” is called “eczema-like breast cancer”, also known as “Paget’s disease of the breast”, and is a disease that can invade the surface of the nipple and cause papillitis Sex-like malignant tumors are relatively rare, with low malignancy and slow onset.

The initial symptoms are itchy and burning nipples, followed by flushing of the breast epidermis, which is often overlooked by patients. As the disease progresses, the skin will become rough and thick, with symptoms such as scaling, erosion, exudation, and ulceration.

But eczema patients don’t need to be too nervous. Generally speaking, eczema rash is mainly on breast tissue other than the nipple and areola, while the main lesions of eczema-like cancer are on the nipple and areola, and lesions can occur On any area of ​​the nipple and extending from the nipple to the areola.

Cancer cells are like “bandits” with strong reproductive power. Not only do they have more and more cells, but they also destroy the surrounding tissues by burning, looting, and destroying.

Although the eczema-like cancer is just itchy and tingling nipples at first, changes similar to chronic eczema soon begin to appear, and finally the surface of the nipple is eroded, oozing, flaky molting, and repeatedly Scabs, which cannot be cured for a long time, and ordinary eczema are generally not so serious after regular treatment.

Eczema-like breast cancer is not necessarily an eczema-like breast cancer, even if itching, rash, and peeling on the nipples. Among all breast cancers, there are only one or two in 100. Diagnosed with eczema-like carcinoma.

We have made a 360° comparison of common eczema and cancerous eczema. You can also make a preliminary judgment according to the following table, don’t panic too much: strong>

Partnering experts for this article

Zhang Xueguang

West China Hospital of Sichuan University

Anesthesiologist

This article reviewer

Feng Xiaodong

Attending General Surgery Physician

References

[1] Shao Zhimin, Shen Zhenzhou, Xu Binghe. Breast Oncology Second Edition [M]. 2018, Shanghai: Fudan University Press.

[2] Zhao Bian. Chinese Clinical Dermatology Second Edition [M]. Jiangsu Science and Technology Press.

[3] Liu Haiyan, Huang Xin, Qu Shaohua. Clinical analysis of 7 cases of eczematoid carcinoma of breast (Paget’s disease) [J]. Journal of Jinan University (Natural Science and Medicine Edition), 2017, 38 (2): 172~177.

[4] Wang Xin, Shi Xiaodong, Gao Fei. Multicenter cross-sectional survey analysis of chronic eczema [J]. Journal of Clinical Dermatology, 2020, 49 (1): 10~13.

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