- Nipple adenoma:
- Is an intraductal papilloma:
- That arises within the terminal lactiferous ducts
- Is an intraductal papilloma:
- Nipple adenomas are rare:
- But usually present as a mass visualized on the nipple:
- It can become ulcerated and caused bleeding
- But usually present as a mass visualized on the nipple:
- 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
- Complete surgical resection to a negative margin is recommended:
- 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.
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Rodrigo Arrangoiz MS, MD, FACS, FSSO 