This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology and breast, Subject name: Surgery
Paget's disease of breast following are true except 
Select and explain. 
A. Treated by wide excision, B. Represents underlying malignancy, C. Presents as eczema, D. Usually associated with lobular ca in situ
D: Usually associated with lobular ca in situ
Answer: D: Usually associated with lobular ca in situ 
Explanation: Paget 's disease of nipple is the supaerficial manifestation of intraductal carcinoma.It mimics eczema of nipple and areola.A hard nodule may be seen under the areola.Usualy unilateral,itching and vesicles absent. SRB's Manual of Surgery.Edition -5. Pg no:533