How Serious Is Paget Disease?

What are the stages of Paget disease?

Three phases of Paget disease have been described: lytic, mixed lytic and blastic, and sclerotic.

In an individual patient, different skeletal lesions may progress at different rates.

Thus, at any one time, multiple stages of the disease may be demonstrated in different skeletal regions..

What virus causes Paget’s disease?

Paget’s disease may be caused by a slow virus infection (i.e., paramyxoviridae) present for many years before symptoms appear. Associated viral infections include respiratory syncytial virus, canine distemper virus, and the measles virus.

How is Paget’s disease diagnosed and treated?

During the physical exam, your doctor will examine areas of your body that are causing you pain. He or she may also order X-rays and blood tests that can help confirm the diagnosis of Paget’s disease of bone.

What is the survival rate for Paget disease?

For women with both Paget disease of the breast and invasive cancer in the same breast, the 5-year relative survival declined with increasing stage of the cancer (stage I, 95.8 percent; stage II, 77.7 percent; stage III, 46.3 percent; stage IV, 14.3 percent) (1, 3, 8, 9).

Is Paget’s disease an autoimmune disorder?

Paget’s disease of bone is a chronic autoimmune inflammatory disease that leads to an increase in bone reabsorption. While depression is extensively described in Paget’s disease, affecting up to 50% of patients, the prevalence of manic episodes is unknown.

Is there pain with Paget’s disease?

Symptoms of Paget’s disease of bone include bone pain, joint pain and problems caused by a nerve being squashed or damaged. But in many cases, there are no obvious symptoms and the condition is only found during tests carried out for another reason.

Can Paget’s disease be cured?

There’s currently no cure for Paget’s disease of bone, but treatment can help relieve the symptoms. If you do not have any symptoms, your doctor may suggest keeping an eye on your condition and delaying treatment until any problems occur.

Can you die from Paget’s disease of the bone?

Extensive Paget’s disease of bone may force your heart to work harder to pump blood to the affected areas of your body. Sometimes, this increased workload can lead to heart failure.

Is Paget disease a form of cancer?

Paget’s disease of the nipple is a rare form of breast cancer in which cancer cells collect in or around the nipple. The cancer usually affects the ducts of the nipple first (small milk-carrying tubes), then spreads to the nipple surface and the areola (the dark circle of skin around the nipple).

What does Paget’s disease feel like?

Symptoms of Paget’s disease of the nipple It appears as a red, scaly rash on the skin of the nipple and areola. The affected skin is often sore and inflamed, and it can be itchy or cause a burning sensation. The nipple can sometimes be ulcerated.

What is the first line treatment for Paget disease?

Bisphosphonates are first-line therapy for Paget’s disease, and the advent of the new bisphosphonates permits a dramatic improvement in treatment. The optimal treatment regimen should obtain normalisation or quasi-normalisation of markers of bone remodelling.

Does Paget’s disease make you tired?

When Paget’s disease is active in several bones, overactive osteoclasts may release enough calcium from the bone as they break it down to cause an elevated calcium level in the blood. This rare complication can lead to a number of symptoms, including: Fatigue. Weakness.

How aggressive is Paget’s disease of the breast?

As a noninvasive form of cancer, Paget’s is not considered an aggressive or fast-moving disease, but it is often associated with another cancer in the same breast.

Is Paget disease life threatening?

The disease may cause fractures, bowed legs, a curved spine or pinched nerves in the spine. Over time, enlarged or misshapen bones can stress nearby joints leading to osteoarthritis in those joints. In very rare cases, Paget’s can turn into a life-threatening cancerous bone disease.

How long does it take for Paget’s disease to progress?

As a result, diagnosis may be delayed, often up to six months or more. Most individuals with the condition eventually seek medical attention due to associated itching or burning sensations, soreness, or pain of the affected area.

What is the most common age for females to be diagnosed with Paget’s disease?

Paget’s disease of the breast occurs most often in women older than age 50. Most women with Paget’s disease of the breast have underlying ductal breast cancer, either in situ — meaning in its original place — or, less commonly, invasive breast cancer.

Is Paget’s disease genetic?

Mutations in the SQSTM1 gene are the most common genetic cause of classic Paget disease of bone, accounting for 10 to 50 percent of cases that run in families and 5 to 30 percent of cases in which there is no family history of the disease.

How do they test for Paget’s disease?

Three tests – an x-ray, blood test, and bone scan – are commonly used to discover Paget’s disease. Sometimes the disease is found by accident when one of these tests is done for another reason. X-rays are used to make the final diagnosis. X-rays.