Eroded Patch on the Nipple of a 57-Year-Old Woman—Quiz Case

Kowal, Rachel; Miller, Christopher J.; Elenitsas, Rosalie

doi:10.1001/archderm.144.7.933-a

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…However, more limited forms of complete surgical excision of the entire NA have been reported using a wedge resection technique [ 93 , 94 , 129 ], as well as a nipple splitting enucleation technique via a trans-nipple longitudinal incision made down through the long axis of the nipple profile to expose and extract the NA [ 80 , 116 , 119 ]. Likewise, Mohs micrographic surgery has been reported to be successfully used for NA excision and is thought to be curative [ 76 , 84 , 98 ]. Lastly, cryotherapy has been reported as a novel technique for eradication of a NA [ 74 ].…”

Section: Discussion/reviewmentioning

confidence: 99%

“…New diagnostic tools include dermatoscopic examination (i.e., diascopy) [ 127 ], touch prep cytology [ 124 ], curettage/scrape cytology [ 117 , 129 ] and fine needle aspiration [ 46 , 47 , 56 , 70 , 90 , 124 ]. Alternate treatment interventions include Mohs micrographic surgery [ 76 , 84 , 98 ], nipple splitting enucleation of the NA [ 80 , 116 , 119 ], and cryotherapy [ 74 ].…”

Section: Introductionmentioning

confidence: 99%

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Nipple adenoma in a female patient presenting with persistent erythema of the right nipple skin: case report, review of the literature, clinical implications, and relevancy to health care providers who evaluate and treat patients with dermatologic conditions of the breast skin

et al. 2016

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BackgroundNipple adenoma is a very uncommon, benign proliferative process of lactiferous ducts of the nipple. Clinically, it often presents as a palpable nipple nodule, a visible nipple skin erosive lesion, and/or with discharge from the surface of the nipple skin, and is primarily seen in middle-aged women. Resultantly, nipple adenoma can clinically mimic the presentation of mammary Paget’s disease of the nipple. The purpose of our current case report is to present a comprehensive review of the available data on nipple adenoma, as well as provide useful information to health care providers (including dermatologists, breast health specialists, and other health care providers) who evaluate patients with dermatologic conditions of the breast skin for appropriately clinically recognizing, diagnosing, and treating patients with nipple adenoma.Case presentationFifty-three year old Caucasian female presented with a one year history of erythema and induration of the skin of the inferior aspect of the right nipple/areolar region. Skin punch biopsies showed subareolar duct papillomatosis. The patient elected to undergo complete surgical excision with right central breast resection. Final histopathologic evaluation confirmed nipple adenoma. The patient is doing well 31 months after her definitive surgical therapy.ConclusionsSince nipple adenoma represents a benign proliferative process of the nipple, complete surgical excision is curative. However, the coexistence of nipple adenoma and ipsilateral or contralateral breast cancer is well reported in the literature. The potential for a direct causal link or association of nipple adenoma and breast cancer cannot be fully excluded.

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