State the diagnostic features of Paget's disease.
The age of the patient; the sharp limitation; the well-defined, indurated film of infiltration; the peculiar, red, raw, granulating appearance; and, later, the retraction of the nipple; and, finally, the involvement of the deeper parts.
What is the prognosis?
If the disease is recognized early, and properly treated, a cure may be anticipated; later the outlook is that of scirrhus of the breast.
What is the treatment of Paget's disease?
Thorough cauterization by means of caustic potash or the galvano-cautery; or, its extirpation by means of the curette or excision. After extirpation or cauterization, supplementary treatment by the x-ray is advisable as an additional measure of precaution against relapse.
Until the diagnosis is thoroughly established, soothing applications, such as are employed in acute eczema, are to be advised.
Sarcoma.
(Synonyms: Sarcoma Cutis; Sarcoma of the Skin.)
Describe the several varieties of sarcoma.