Bilateral Synchronous Paget's Breast Disease: A Case Report with Review

Paget's breast disease (PBD) is a rare disease with an unusual presentation, so early diagnosis is quite difficult. It is an eczematous eruption on the nipple and areola with or without underlying breast cancer. It is often misconstrued as chronic dermatitis or psoriasis and results in a delayed diagnosis. Bilateral synchronous Paget's breast disease is exceptionally rare, and only a few cases have been reported in the literature. Radiology is a supportive tool for diagnosis as it is the only histopathology that can give a definitive diagnosis. The treatment depends upon the histological findings as well as associated underlying carcinoma in the breast. Simple lumpectomy, mastectomy, or radical mastectomy depends on the lump (cancer) underneath the diseased breast. Now, we present a case of bilateral synchronous PBD without a lump in both breasts.