Paget’s disease of nipple is rare entity. The majority of cases are associated with ductal carcinoma in situ (DCIS) or invasive ductal carcinoma (IDC) somewhere in the breast. When ultrasonic scan found multiheterogenic masses in both breasts, it is imposible to vertify which one or more foci to be malignancy. We suggest to mark with small fish oil capsules at suspected masses before magnetic resonance imaging (MRI) breast with contrast enhancement as well as contrast enhanced spectral mammography (CESM) for comparison. The finding shows CESM is far more superior than (MRI) breast study on detection of sentinel node. CESM is faster, inexpensive and far more convenient for the patient.
Paget’s disease of the nipple, breast localization, digital mammography, ultrasonic scan, MRI breast contrast enhancement, CESM, sentinel node, contrast enhanced spectral mammography