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Adenoma of the
nipples. Z Hautkr.
1979 Dec 15;54(24):1067-72.
The adenoma of
the nipple (syn.: erosive adenomatosis, papillary adenoma, florid
papillomatosis) is a benign tumour of the major nipple ducts and
presents chiefly as an eroded oozing and crusted lesion with serous or
sanguineous discharge of the nipple or as an indurated nodule. The
lesion can be mistaken clinically for Paget's disease of the nipple.
The correct diagnosis, however, can easily be established by an
incisional biopsy. Pathohistologically, the tumour displays
adenomatous and papillomatous proliferation of the milk sinus
epithelium. An outer myoepithelial and inner columnar epithelium layer
can mostly be distinguished. Atypical cellular features are lacking.
Keratin cysts near the mostly eroded epidermal surface are are
additional characteristic signs. The resection of the nipple is the
therapy of choice. The adenoma of the nipple is no precancerous
condition. A typical case of adenoma of the nipple from a 54 year old
woman is presented. |