Which breast malignancy is associated with itching, burning, and erosion of the nipple?

The correct answer highlights Paget's disease of the nipple, which is specifically characterized by symptoms such as itching, burning, and erosion of the nipple. This condition is a type of breast cancer that often arises from underlying ductal carcinoma and is associated with the presence of malignant cells in the epidermis of the nipple. The symptoms stem from the inflammatory response that occurs due to the cancer cells, leading to changes in the skin and the nipple's surface.

Paget's disease commonly presents with an itchy, scaly rash on the nipple or areola, and it may progress to cause fissuring or erosions in the skin. This presentation can sometimes be mistaken for a benign condition, but the distinctive dermal changes and associated symptoms are key indicators of the malignancy.

Understanding the specific symptoms associated with different breast conditions helps in their differentiation and appropriate management. Invasive lobular carcinoma typically does not present with such localized skin symptoms, while intraductal papilloma may cause discharge or lump sensations without the severe changes in skin appearance. A breast abscess would be more associated with pain and swelling rather than the specific symptoms described. Thus, Paget's disease stands out due to its unique presentation and association with nipple changes.