By Gary M. White, MD

Common questions that may be asked include:


Eczema of the nipple is very common.
Eczema of the nipple

Paget's Disease
Paget's Disease

Crusting, Growth

Seborrheic Keratosis
Seborrheic Keratosis of the Nipple

Basal Cell Carcinoma
Basal Cell Carcinoma of the Nipple

Breast Cancer

Erosive Adenomatosis. There may be discharge, bleeding, crusting or ulceration. (Courtesy Michael O. Murphy, MD).
Erosive Adenomatosis

Syringomatous Adenoma of the Nipple


Hyperkeratosis of the Nipple. Here, in a man.
Hyperkeratosis of the Nipple


Montgomery's Tubercles.
Montgomery's Tubercles

Neurofibromatosis. Multiple neurofibromas characteristically affect the nipple in NF-1.

Epidermal Inclusion Cyst [J Plast Reconstr Aesthet Surg. 2014 Jan;67(1):e27-8]

Congenital Milia Nipple. [DermatologicaSinica June 2014 Volume 32, Issue 2, Pages 129–130]

Hematoma. [JAAD May 2015 Volume 72, Issue 5, Pages e117–e118]


Pigmented Paget's Disease.

Areolar Melanosis

Pigmented BCC Rarely, a pigmented BCC may occur on the nipple Ann Dermatol. 2011 Oct;23(Suppl 2):S201-4


Large congenital nevi have been reported to spare the nipple, so called "nipple-sparing nevus of the breast”. [Pediatric Dermatology Vol. 32 No. 4 514–517, 2015]


Congenital Circumareolar Telangiectasias
Congenital Circumareolar Telangiectasias


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