EROSIVE ADENOMATOSIS

By Gary M. White, MD

Erosive adenomatosis Courtesy Micheal O. Murphy, MD


Erosive adenomatosis represents a benign proliferation of the nipple in a middle-aged women.

Clinical

Also known as papillary adenoma of the nipple, erosive adenomatosis may present with unilateral nipple erosion, discharge, or a mass in a middle-aged woman. The lesion is consistently superficial in location, unlike breast carcinoma. Histologically, one sees proliferating ductal structures lined by a double layer of columnar epithelium.

Treatment

Simple surgical excision is appropriate with reconstruction if needed. Mohs surgery has been recommended.

References

Enlargement, itching, pain, and discharge of the nipple. An. Bras. Dermatol. vol.86 no.4 supl.1 Rio de Janeiro July/Aug. 2011

Oozing of the nipple for more than a year. Indian Dermatol Online J 2013;4:239-40

A 4-year erosion in a man. Indian J Dermatol Venereol Leprol 2015;81:68-70

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