Paget's Disease of Breast in Young Woman-Unlike But Not Impossible

A young woman, health, 33 years old presented unilateral areola  nipple pruritus and burning about one month ago. She denies smoking or drinking alcoolics bevareges. The initial diagnosis was  dermatitis and  she was treated with topical regimes. She sought further evaluation and care at our institution. Further investigation revealed breast cancer behind the left nipple and areola. She underwent to Breast-Conserving Surgery (BCS) to the left areola and nipple with sentinel Lymph Node Biopsy (SND) negative. The margins were clear achieved. The surgery for reconstructive breast was Grisotti’s technic. The adjuvant radiotherapy was used.