1st April 2022

Mrs Thomas, a 52-year-old woman, presents to her GP with an itchy eczematous lesion of the nipple

Mrs Thomas, a 52-year-old woman, presents to her GP with an itchy eczematous lesion of the nipple which extends to the areolar skin. There is no nipple discharge or palpable lump. Her GP is concerned that she may have mammary Paget’s disease. A skin biopsy has been organised? 

Which additional investigation should also be organised? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.