After a suspicion of Paget's disease on exam, the next step in evaluation is which of the following?

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Multiple Choice

After a suspicion of Paget's disease on exam, the next step in evaluation is which of the following?

Explanation:
Paget disease of the breast often signals an underlying breast malignancy, so the immediate next step is to image and biopsy to assess for cancer. Ordering a diagnostic mammogram will look for ductal carcinoma in situ or invasive cancer that may be driving the nipple-areolar changes, and referring to a breast surgeon ensures timely biopsy and definitive evaluation. This approach addresses the possibility of cancer rather than treating presumed dermatitis with steroids, delaying reassurance, or giving antibiotics.

Paget disease of the breast often signals an underlying breast malignancy, so the immediate next step is to image and biopsy to assess for cancer. Ordering a diagnostic mammogram will look for ductal carcinoma in situ or invasive cancer that may be driving the nipple-areolar changes, and referring to a breast surgeon ensures timely biopsy and definitive evaluation. This approach addresses the possibility of cancer rather than treating presumed dermatitis with steroids, delaying reassurance, or giving antibiotics.

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