Dermoscopy of nipple adenoma

Ansari, Mahshid Sadat; Fazli, Jafar Taghizadeh; Ehsani, Amirhooshang

doi:10.1002/ccr3.3398

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…Dermoscopic findings of AN have only been described in four cases so far and differ among each other, which makes it difficult to establish a specific dermoscopic pattern. In general, the dominance of red and white color and regularity of vascular structures (red dots in linear, radial, or semicircular patterns) are the signs that can lead to the diagnosis of AN [2,6]. Therefore, dermoscopy can be a useful diagnostic tool and can help in the differentiation of AN from other nipple lesions such as Paget disease,…”

Section: Case Discussionmentioning

confidence: 99%

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Adenoma of the nipple: a mimic of breast malignancy

Quintana-Codina¹,

Pérez-Muñoz²,

Fernández‐Figueras³

et al. 2021

DOJ

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Section: Case Discussionmentioning

confidence: 99%

“…Dermatology Online Journal || Photo Vignette in which light brown diffuse pigmentation, irregularly distributed blue-gray dots, irregular black dots, and irregular vessels can be found [6].…”

mentioning

confidence: 99%

Adenoma of the nipple: a mimic of breast malignancy

Quintana-Codina¹,

Pérez-Muñoz²,

Fernández‐Figueras³

et al. 2021

DOJ

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“…The key to obtaining early diagnosis and assessment for concomitant malignancy is represented by multimodality radiological evaluation employing mammography, ultrasonography, or breast MRI. Dermoscopy in combination with histopathologic studies can be useful for accurate diagnosis [ 4 ]. Histologically, nipple adenomas show an irregular ductal proliferation within nipple stroma without significant cellular atypia.…”

Section: Introductionmentioning

confidence: 99%

Management of nipple adenomas during pregnancy: a case report

et al. 2023

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Background Nipple adenoma is a very uncommon, benign neoplasm that involves the nipple. A palpable mass of the nipple associated with nipple discharge and erosion or ulceration is the common clinical presentation. Generally, complete surgical excision of the nipple is the main treatment, alternative therapeutic methods such as Mohs micrographic surgery, nipple splitting enucleation, and cryotherapy can be considered. Disorders of the breast in young women are generally benign. Even if the management during pregnancy is usually conservative and surgical excision is reserved for very strong malignancy suspicion, benign lesions can cause the impossibility to breastfeed after giving birth when involving the nipple. Case presentation We present the case of a 28-year-old female, who was referred to the Breast Unit of the University Hospital of Modena (Italy) in May 2020 with a 12-months history of enlargement of the left nipple with associated erythema, serohemorrhagic discharge, and pain in the left nipple region. The diagnostic assessment came out in favor of a nipple adenoma. After surgical treatment was recommended, the patient got pregnant. Taking into account the major risks of surgery during pregnancy, a multidisciplinary discussion was conducted, to consider whether to proceed with surgery or postpone it after pregnancy. Because of the volume and the position of the adenoma, the indication for surgical excision was confirmed, to allow regular lactation and breastfeeding immediately after giving birth and to avoid potential obstructive complications. Surgical excision of nipple adenoma without complete resection of the nipple was performed after her first trimester of pregnancy under local anesthesia. A histopathological examination confirmed the diagnosis. No recurrence occurred after 12 months. The patient gave birth, had no deficit in lactation, and successfully breastfed. Conclusions Therefore, we consider that nipple adenoma enucleation might be a safe treatment even during pregnancy. Moreover, conservative local treatment of nipple adenomas can preserve the nipple aesthetically and functionally, thus allowing regular lactation and breastfeeding in young women.

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“…The key to obtaining early diagnosis and assessment for concomitant malignancy is represented by multimodality radiological evaluation employing mammography, ultrasonography, or breast MRI. Dermoscopy in combination with histopathologic studies can be useful for accurate diagnosis [4]. Histologically, NAs show an irregular ductal proliferation within nipple stroma without signi cant cellular atypia.…”

Section: Introductionmentioning

confidence: 99%

Management of nipple adenomas during pregnancy: case report and review of the literature

Combi

Palma

Montorsi

et al. 2022

Preprint

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Background: Nipple Adenoma is a very uncommon, benign neoplasm that involves the nipple. Generally, complete surgical excision of the nipple is the main treatment, alternative therapeutic methods such as Mohs micrographic surgery, nipple splitting enucleation, and cryotherapy can be considered. Benign disorders of the breast generally occur in the breast of young women. Even if the management during pregnancy is usually conservative and surgical excision is reserved for very strong malignancy suspicion, benign lesions can cause the impossibility to breastfeed after giving birth when involving the nipple. Case Presentation: Here, we report a case of a 28-year-old woman with a 12-month history of progressive enlargement of the left nipple associated with erythema and intermittent serous-haematic discharge. The diagnostic assessment came out in favor of a nipple adenoma. After surgical treatment was recommended, the patient got pregnant. Surgical excision of nipple adenoma without complete resection of the nipple was performed after her first trimester of pregnancy under local anesthesia. A histopathological examination confirmed the diagnosis. No recurrence occurred after 12 months. The patient gave birth, had no deficit in lactation, and successfully breastfed. Conclusions: Therefore, we consider that nipple adenoma enucleation might be a safe treatment even during pregnancy. Moreover, conservative local treatment of nipple adenomas can preserve the nipple aesthetically and functionally, thus allowing regular lactation and breastfeeding in young women.

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Dermoscopy of nipple adenoma

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 6 publications

References 5 publications

Adenoma of the nipple: a mimic of breast malignancy

Adenoma of the nipple: a mimic of breast malignancy

Management of nipple adenomas during pregnancy: a case report

Management of nipple adenomas during pregnancy: case report and review of the literature

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