Nipple reconstruction with skate flap technique after central lumpectomy in Paget’s disease located on the nipple

Paget’s disease of the breast is a pathological condition that causes long-term com-plaints in the nipple-areola complex (NAC). It is characterized by eczematous changes in the nipple. The underlying breast lesion is usually ductal carcinoma in situ, but invasive cancer can also be found. Since the clinical manifestations are very similar to many common skin rashes that a woman has experienced in her life, the diagnosis can easily be overlooked or misdiagnosed. While the traditional treatment for Paget’s disease is mastectomy; in appropriate cases, the use of radiotherapy in combination with breast-conserving surgery comes to the fore. It is aimed to present the treatment process of our patient who was admitted with a complaint of a non-healing nipple wound for a long time and was diagnosed with Paget’s disease of the breast as a result of breast-preserving surgery. Skate flap technique was preferred for nipple re-construction after central lumpectomy, and there was no loss of projection after radiotherapy. NAC is an important anatomical part of the breast and its cosmetic appearance is significantly affected in the case of surgical excision. For this reason, in cases requiring central lumpectomy, efforts should be made for nipple reconstruction.