Breast adenomaD24.x3

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Adenoma of the nipple papillary; Adenoma of the nipple papillary proliferating; Adenomatosis of the nipple; Adenomatosis of the nipple erosive; Cystadenoma papillary intraductal; Erosive adenomatosis of the nipple; florid subareolar papillomatosis; intra-ductal benign papilloma; Milk duct adenoma; papillary adenoma of the nipple; papillary intraductal cystadenoma; Papilloma intraductales benignes; Papillomatosis floride subareolar; proliferating papillary adenoma of the nipple

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HistoryThis section has been translated automatically.

Collins, 1905; Warren, 1905

DefinitionThis section has been translated automatically.

Rare benign adnexal tumor with apocrine differentiation.

ManifestationThis section has been translated automatically.

Mostly occurring in women in the 5th decade of life.

Clinical featuresThis section has been translated automatically.

Reddish to erosive, scaly, crusty plaque (pseudopagetoid!) in the nipple area with enlargement, bleeding, weeping and pain (see below thelalgia) of the nipple.

HistologyThis section has been translated automatically.

In continuity with the epidermis, proliferation of cystic and tubular structures with cylindrical epithelium. Detection of papillary projections into the lumen. External myoepithelial cells.

Differential diagnosisThis section has been translated automatically.

Paget's disease of the nipple; intraductal papillary carcinoma of the milk duct.

TherapyThis section has been translated automatically.

Local excision of the tumor, whereby the absence of tumor should be observed by means of microscopically controlled surgery.

Progression/forecastThis section has been translated automatically.

No malignant degeneration.

LiteratureThis section has been translated automatically.

  1. Albers SE et al (1999) Erosive adenomatosis of the nipple in an eight-year-old girl. J Am Acad Dermatol 40: 34-837
  2. Bourlond J et al (1992) Erosive Adenomatosis of the nipple. Dermatology 185: 319-324
  3. Cooper A (1845) The anatomy and diseases of the breast. Lea & Blanchard, Philadelphia, S. 1-130
  4. Healy CE et al (2003) Nipple adenoma: a differential diagnosis for Paget's disease. Breast J 9: 325-326
  5. Lee HJ, Chung KY (2002) Erosive adenomatosis of the nipple: Conservation of nipple by Mohs micrographic surgery. J Am Acad Dermatol 47: 578-580
  6. Sugai M et al (2002) Adenoma of the nipple in an adolescent. Breast Cancer 9: 254-256
  7. Undeutsch W et al. (1979) Papillomatous lactiferous adenoma (pseudo paget of the nipple). Dermatologist 30: 371-375
  8. Van Mierlo PL et al (1998) Mohs micrographic surgery for an erosive adenomatosis of the nipple. Dermatol Surgery 24: 681-683
  9. Warren JC (1905) The surgeon and the pathologist: a plea for reciprocity as illustrated by the consideration of the classification and treatment of benign tumors of the breast. JAMA 45: 149-165

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer