ADENOMA OF THE NIPPLE -A CASE REPORT

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 65; no. 8; pp. 2083 - 2085
• Main Authors: HIGUCHI, Katsuyoshi, IWASAKI, Reiko, TAJIRI, Takashi, FURUKAWA, Keiko, FURUKAWA, Kiyonori, IIDA, Shinya
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2004
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.65.2083

We report a 37-year-old woman who developed adenoma of the nipple, seen for nipple erosion that had continued for 6 months. The swollen right nipple was elastically hard and with palpation showed the tumor to be 1.5 cm in size. Erosion formed around the top of the mamilla. By inspection, palpation, and biopsy, we diagnosed the case as adenoma of the nipple. Since it entailed refractory erosion, total nipplectomy including the tumor and reconstruction of the nipple using one third of the contralateral nipple papilla were conducted. Pathological findings confirmed the diagnosis. Even though this lesion is benign, clinicians and pathologists should take particular care with the differential diagnosis with special consideration for Paget's disease and papillo-tubular carcinoma. We would like to remind clinicians to develop an accurate concept of adenoma of the nipple and to notify pathologists of the region where the adenoma exists. These approaches can help both patients and clinicians by achieving a precise diagnosis and saving the patient from having to undergo excessive surgery.