Journal of the Korean Surgical Society  1998;54(5):743-747

Papillomatosis of the Nipple: A case report.

Sung Hoo JUNG 1

Affiliations

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Keywords

Nipple papilloma; Paget's disease; Complete excision

Country

Republic of Korea

Language

Korean

Abstract

Papillary lesions of the nipple are extremely rare. These lesions are not associated with a positive family history of or other risk factors for breast carcinomas. Papillary lesions of the nipple tend to assume one or more of three distinct morphologic growth patterns. These patterns include sclerosing papillomatosis, papillomatosis adenosis, and adenosis. A nipple papilloma initially presents itself as a bulge just beneath the nipple and enlarges slowly over months to years before causing symptoms. Patients present with nipple erosions, ulcerations, or masses and often have serous or bloody discharge. Because of this constellation of symptoms, it is often a challenge to differentiate a papilloma of the nipple from Paget's disease or eczematous dermatitis. Complete excision of the papillary lesion is sufficient. The author experienced papillomatosis of nipple and got good results postoperatively. A 55-year-old woman presented with multiple lobulated small masses and erosion of the left nipple. At first, we diagnosed the lesion as Paget's disease or eczematous dermatitis. Later, a wedge biopsy revealed the papilloma. A complete excision of the papillary lesion was performed.