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paget’s disease of the breast

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Q: What’s going on?
i am 14 years old and pain started in my right breast around my nipple about when my period ended.

a couple days later a red mark/spot appeared around the top left of my right nipple, and its starting to itch a lot.

i feel a little bump in my right nipple /where the red area is and it itches there.

my left nipple is also starting to itch too but i don’nt see any changes.

what’s wrong? do i have paget’s disease/cancer? i’m really scared. help me!

my mom had breast cancer but she had it after i was born, if it helps.
or is it just dry?

A: At 14 your chances of having breast cancer are very close to zero; it’s mainly a disease of ageing – 80% of those diagnosed are over 50, it’s rare in women under 40 and almost unheard of in under 20s.

Pain isn’t usually a breast cancer symptom. And as both breasts are affected it’s even less likely to be anything sinister.

Only between 5 and 10% of breast cancer cases are hereditary, and even in the case of hereditary breast cancer it is very unlikely to develop so young.

My advice is to talk to your mother; about her cancer, about your fears and about the symptoms you currently have.

She will be able to reassure you and to decide with you whether you need to see a doctor

Q: Skin flaking on BOTH nipples?
I have flaky skin, or some sort of skin condition. I can peel flakes off the pinna of my ear and around the canal. It comes off every two days. My skin on my face is also flaky, but I can’t peel anything off.

About 4 months ago I noticed the skin on one of my nipples was peeling badly. The skin would stick up and I could peel the flakes off. I didnt think anytihng of it because the same thing happens to my ears.

I went to the doctor anway to rule of Paget’s disease, and she gave me a cream and it seemed to go away. The breast cancer specialist als said (at that time) that due to my age and the fact that I have dry skin, that it may not be cancer.

Now, both my nipples are flaky, and it seems to have spread to the areolas of both as well. I’m not feeling any unsual pain or itchiness besides the usual I;ve had since they started to grow.

I’m a little worried. SHould I be concerned?

edit: I havent showered in 38 hours due to sickness, and my skin has a fast turnover rate

A: Any thing “different” with your breasts should be checked out. While it is true that if you have dry skin it can be dry anywhere, I personally would not settle for “it may not be cancer” and would demand that it be tested.

“Should you be concerned?” There is no point worrying about things you cannot control so probably not. However it is a good idea to get it checked and then you can definitely stop worrying!

All the best

Q: health questions help?
What is key to improve cancer’s survival rates?

improve people’s nutrition and lifestyle choices
more research into better chemotherapy drugs
programs that stress early detection and intervention
better surgical techniques to remove all cancer cells

34. What is the disease that involves changes in the nerves and chemicals of the brain leading to memory loss, personality changes, and complete dependency?

Parkinson’s
Alzheimer’s
Paget’s
Grave’s

35. Which of the following is not a disorder related to hypertension?

congestive heart failure
stroke
diabetes mellitus
heart attack

36. How is hepatitis B typically transmitted?

fecal-oral route
bacteria and its spores
contaminated blood or sexual contact
breast-feeding

37. Which STD can cause blindness in a newborn baby if it infects the baby’s eyes during the birth process while producing a greenish yellowish drainage from the reproductive organs of the infected adults?

syphilis
gonorrhea
genital herpes
chlamydia

38. Which STD begins as chancres or open lesions on the reproductive organs and can invade the nerous system causing difficulty speaking, headaches, blurred or diminishing vision, seisures, problems with memory and thinking, and depression?

syphilis
gonorrhea
genital herpes
chlamydia

39. Which organ is affected by hepatitis?

brain
stomach
uterus
liver

40. Which of the following is not a form of anthrax infection?

digestive (gastrointestinal)
circulatory (blood)
skin (cutaneous)
respiratory (inhalation)

41. The lack of which of the following hormones from the pancreas prevents the body from regulating its own blood sugar?

insulin
adrenaline
testosterone
melanin

42. Which of the following bacterial STDs is the most common in the United States causing the formation of a painless lesion which may result in scarring of the pelvic organs and sterility?

gonorrhea
genital warts
syphilis
chlamydia

43. What is the cause of Bovine Spongiform Encephalopathy?

bacteria
virus
prion
fungi

44. Which of the following best describes symptoms of BSE (Mad Cow Disease)?

fatty plaque in the arteries leading to chest pain
loss of the ability to sense, move, and think
skin rash, digestive disturbances, and difficulty breathing
severe headache or no symptoms at all

45. Which of the following best describes symptoms of diabetes mellitus?

crushing chest pain, nausea, weakness, and fatigue
excessive urination, thirst, and hunger
flu-like symptoms, headache, and stiff neck
loss of coordination on one side, slurred speech, and difficulty concentrating

46. Which of the following could cause a non-communicable disease?

viruses
bacteria
smoking
fungi

47. Which of the following is an example of a communicable disease?

Alzheimer’s disease
common cold
heart disease
diabetes mellitus

48. Which of the following is NOT a reason it is difficult to cope with a chronic illness?

financial obligations to cover treatment and care that health insurance may not cover
loss of physical independence which requires more assistance with the activities of daily living
knowledge that the person will get better with the appropriate medications
dealing with depression and grief for the diagnosis

49. When does the HIV positive stage move into full-blown AIDS?

when the red blood cell count rises above 7 million cells per cubic millimeter
when the cells have metastasized from their original location to the brain
when the heart fails to pump blood properly causing swelling and difficulty breathing
when the T-cell count falls below 200 cells per cubic millimeter

50. Which of the following is NOT a leading cause of death in the United States today?

pneumonia
heart attack
stroke
diabetes mellitus

A: ask the data from the DOH

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