Next steps to figure out if Paget's?

lindsay22_chi

Hi there,

In October of last year I started feeling an itching and burning sensation in my breasts. I was told to get an ultrasound by my PCP; it came back inconclusive as I have dense breast tissue, and I was ordered to get the mammogram.

This came back showing I had multiple cysts throughout both breasts and one complex cyst on my left breast. I went back for my 6-month ultrasound in July and everything came back "normal" and "stable".

In the meantime, my nipple on the left side is showing odd symptoms. It's much brighter red than my other nipple, and has flaky skin around it. The top of the nipple itself is thick, almost like a scab. There are a few white-ish dots that look like milk blebs.

Is it possible for paget's to go undetected in the ultrasound, and is it possible this is what I have in the left nipple? If so, what are my next steps from here? Should I go in for a biopsy?

In terms of risk factors, my mother did have breast cancer at about 55-60 yo. I'm a 35 yo white woman. I am about 40 lbs overweight and probably drink too much alcohol (though nothing crazy). Dense tissue. NO BRCA gene.

Thank you in advance.