NIPPLE ADENOMA OF THE BREAST: RECONSTRUCTION OF NIPPLE FROM THE AREOLA

Abstract

Although the nipple adenoma is a relatively rare condition, awareness of this disease is extremely important because its clinical features resemble Paget's disease or ductal carcinoma of the breast. A failure to recognise the pathology could therefore lead to misdiagnosis and consequent surgery which would cause serious damage to the patient. We report a case of erosive adenomatosis of the nipple. Physical examination revealed erosive tumor measuring 17x11 mm that was tender; swelled and indurated. There was a bloody discharge from the nipple. Cytological material from the nipple discharge showed a papillary cell cluster and punch biopsy revealed the nipple adenoma. We performed total nipple excision after pathological confirmation of diagnosis and reconstruction of the nipple with double opposing Z plasty.