<prompt> Consider the following statements regarding paget;s disease of the breastIt is a malignant diseaseDiagnosis can be established by scrape cytologyLymph nodes involvement is an associated clinical featureTreatment of choice is simple mastectomy  <response>: .In Pagets disease, there is a hard nodule just underneath the areola, which later ulcerates and causes destruction of nipple. Histologically, it contains large, ovoid, clear Pagets cells with malignant features. Total simple mastectomy: Along with the tumour, entire breast, areola, nipple, skin over the breast, including axillary tail are removed. There is no axillary dissection. Often the patient is subjected to radiotherapy later External to axilla. ref:SRB;s manual of surgery,ed 3,pg no 482 