Accessory Nipple Looks Like Dermatofibroma in Dermoscopy

CASE 1: A 27-year-old woman presented with a 6 x 6 mm, soft, pink-brown papule located on the right axilla (Fig. 1). Dermoscopic examination showed a central scar-like white-colored area, a cleft-like appearance in the central area, and a fine pigment network in the periphery of the lesion (Fig. 2). CASE 2: A 5-year-old girl presented with a 4 x 4 mm pink nodule on her left abdominal region. Dermoscopic examination showed a central scar-like white-colored area, and a fine pigment network in the periphery of the lesion. CASE 3: An 18-year-old man presented to our outpatient clinic suffering from a firm, tender, painful, 7 x 7 mm brownish pink nodule located on his left hypochondrium. Upon dermoscopic examination, a central white scar-like area was detected. A cleft-like appearance was also detected in the central region. In the periphery of the lesion, there was a fine pigment network. CASE 4: An 8-year-old girl reported to our outpatient clinic with a congenital 5 x 5 mm brownish papule on her right inguinal region. Dermoscopic examination showed a central white scar-like area, a cleft-like appearance in the central region, and a fine pigment network in the periphery of the lesion (Fig. 3). CASE 5: A 2-month-old girl was referred to our pigmented lesions clinic with a 3 x 3 mm brownish pink papule located on the right subcostal region lesion that had been noted by a pediatrician. Dermoscopic examination showed a central white area, central streak, and a very faint pigmented network at the periphery.

show abstract

“…The clinical diagnosis of accessory nipple and dermatofibroma is easy, but sometimes dermoscopy may be helpful for differential diagnosis 5,6 …”

Section: Discussionmentioning

confidence: 99%

Dermoscopic features of accessory nipples

Öztaş

Gürer

2007

Int J Dermatology

View full text Add to dashboard Cite

show abstract

“…The first step was to determine if the typical central white scar-like patch with a delicate pigmented network at the periphery was seen in dermoscopy. 15 Then the diagnosis of an accessory nipple or dermatofibroma could be made. But an atypical pattern must lead to excision to exclude melanoma.…”

Section: Discussionmentioning

confidence: 99%

Modified Dermoscopic Algorithm for the Differentiation between Melanocytic and Nonmelanocytic Skin Tumors

2006

Self Cite

View full text Add to dashboard Cite

show abstract

“…10.11) (Blum & Roehm, 2003). They present with a delicate peripheral pigment network, which corresponds to areolar epidermal hyperpigmentation of the basal layer with slight increase in melanocytes, and a central clear area (Fig.…”

Section: Accessory Nipple (Polythelia)mentioning

confidence: 97%