Nipple Adenoma

  • Nipple adenoma:
    • Is an intraductal papilloma:
      • That arises within the terminal lactiferous ducts
  • Nipple adenomas are rare:
    • But usually present as a mass visualized on the nipple:
      • It can become ulcerated and caused bleeding
  • Nipple adenomas also can be associated with:
    • Nipple discharge
    • Pain
    • Loss of nipple tissue
      • Often confusing the diagnosis with Paget’s Disease or eczema
  • Topical steroids:
    • Are not recommended for the treatment of a nipple adenoma
  • Despite their benignity:
    • Complete surgical resection to a negative margin is recommended:
      • Because they can be associated with atypia or ductal carcinoma in situ
  • Nipple resection is not necessary:
    • If the adenoma can be removed with a negative surgical margin
  • Breast MRI is not indicated for the diagnosis of a nipple adenoma
  • References:
    • Stone K, Wheeler A. A review of anatomy, physiology, and benign pathology of the nipple. Ann SurgOncol. 2015;22(10):3236-3240.
    • Wang C, Wang X, Ma R. Diagnosis and surgical treatment of nipple adenoma. ANZ J Surg.2015;85(6):444-447.
    • Jones MW, Tavassoli FA. Coexistence of nipple duct adenoma and breast carcinoma: a clinicopathologic study of five cases and review of the literature. Mod Pathol. 1995;8(6):633–636.

#Arrangoiz #BreastSurgeon #CancerSurgeon #SurgicalOncologist #NippleAdenoma #BreastCancer #Miami #Mexico

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s