Areolar sebaceous hyperplasia in a male – a different morphology

Abstract

Sebaceous hyperplasia commonly occurs on the face and occasionally on the neck, mainly in elderly individuals. Areolar involvement is a rare distinctive entity with an increasing number of male cases being reported. This is also the first reported case of unilateral sebaceous hyperplasia occurring in a male, as plaque morphology.

Areolar Sebaceous Hyperplasia With Underlying Primary Duct Carcinoma of the Breast in a Woman With Donohue Syndrome (Leprechaunism)

“…35 This is primarily the reason why some consider areolar sebaceous hyperplasia to be a malformation. 5,9 In our case, a tumoral pathology was obviously underneath the hyperplasia, and one wonders if the latter could have been induced by the former. Cases of sebaceous hyperplasia have been reported over cutaneous tumors, such as dermatofibromas.…”

“…[1][2][3][4][5][6][7][8][9][10][11] We have also not found any case of association of areolar sebaceous hyperplasia and ipsilateral breast carcinoma. Glazebrook et al 33 described 2 cases in which breast carcinoma mimicked an areolar dermal lesion on sonography, but this appearance was due to dermal infiltration by the carcinoma, whereas the histopathologic study demonstrated no adnexal or epidermal alterations.…”

“…1 This type of phenomenon could be related to a hyperplasia of the Montgomery tubercles, which is common in women after delivery and during lactation. 34 However, many of the reported cases of areolar sebaceous hyperplasia appeared in men, 5,[7][8][9]32 and according to some, men lack Montogomery tubercles. 35 This is primarily the reason why some consider areolar sebaceous hyperplasia to be a malformation.…”

“…We have found 12 cases published in the literature, both in women and men. [1][2][3][4][5][6][7][8][9][10][11] Most of these cases were not associated with any relevant pathology.…”

Premature sebaceous hyperplasia of nipple and areola

“…Catalano and Ioannides reported a case of a 37‐year‐old woman with bilateral sebaceous hyperplasia of the areolas 3 . Subsequently, there were other limited reports of areolas sebaceous hyperplasia involving different sides or different gender 4,5 . But there was rare record of similar sebaceous hyperplasia of the nipple.…”