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Presented by Hind Nassar, M.D. and prepared by Aatur Singhi, M.D., Ph.D.
Case 2: 55 year old woman with a mass in the nipple.
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Question 1 of 1
1. Question
Week 414: Case 2
55 year old woman with a mass in the nipple.images/1alex/110209case2image1.jpg
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images/1alex/110209case2image4.jpgCorrect
Answer: Florid papillomatosis of the nipple (nipple adenoma)
Histology: none provided
Discussion: Nipple adenoma is a breast lesion that can occur at any age and usually presents as nipple discharge, erosions, pain or itching. The lesion can have multiple patterns: papillary, adenomatous, sclerosing or mixed. It can also be cellular with mitotic activity. It is associated with carcinoma in 18% of the cases; carcinomas are most frequently concurrent and located at a distance from the lesion. It can also occur adjacent to the nipple adenoma, especially in male patients. The risk for future carcinoma in a patient with this diagnosis however is unclear.
Incorrect
Answer: Florid papillomatosis of the nipple (nipple adenoma)
Histology: none provided
Discussion: Nipple adenoma is a breast lesion that can occur at any age and usually presents as nipple discharge, erosions, pain or itching. The lesion can have multiple patterns: papillary, adenomatous, sclerosing or mixed. It can also be cellular with mitotic activity. It is associated with carcinoma in 18% of the cases; carcinomas are most frequently concurrent and located at a distance from the lesion. It can also occur adjacent to the nipple adenoma, especially in male patients. The risk for future carcinoma in a patient with this diagnosis however is unclear.
