乳头腺瘤是一种罕见的乳腺良性肿瘤。这种罕见的实体最常见的表现是乳头糜烂,血吸虫排出,硬结,或者乳头处形成肿瘤.它通常模仿恶性乳腺病变或乳头湿疹,被误认为是乳头的Paget病或皮肤病学病理。病理上可误诊为乳腺导管癌。这可能导致诊断延迟或故障诊断。治疗是切除或不切除乳头的肿瘤。这里,我们报告了一例乳头腺瘤,突出到乳头外并伴有乳头糜烂,血吸虫排出,偶尔还有腺瘤出血.一名37岁的女性右乳头上有肿瘤八个月,随着乳头的侵蚀和血清血分泌物。患者偶尔有少量出血史。Axilla正常.建议患者进行乳房超声检查。它显示了一个椭圆形,界限分明,低回声,右侧乳头均匀实性结节。在乳房X线照相术上没有发现微钙化。进行了穿刺活检以建立诊断。导管增生及腺体结构乳头状增生提示乳头腺瘤。完全切除肿瘤并部分切除乳头,美容效果令人满意。虽然不常见,当患者出现乳头糜烂和分泌物,有或没有临床上明显的肿瘤时,应考虑乳头腺瘤的可能性。具有组织病理学相关性的及时诊断很重要,因为它允许侵入性较小的手术方法。在我们的案例中,我们可以在没有残留肿瘤的情况下获得美容上令人满意的结果。乳头佩吉特病也有类似的临床表现,这是一种癌前疾病。提出这种情况的目的是强调这种罕见的良性疾病的可能性,这在临床上很容易被遗漏,并且还需要仔细的组织病理学检查才能正确诊断。
A nipple adenoma is a rare benign breast tumor. The commonest presentation of this rare entity is nipple erosion, serosanguinous discharge, induration, or tumor formation at the nipple. It often mimics malignant breast lesions or nipple eczema and is mistaken for Paget\'s disease of the nipple or dermatological pathology. It may be misdiagnosed pathologically as ductal carcinoma of the breast. This may cause a diagnostic delay or a faulty diagnosis. Treatment is the excision of the tumor with or without nipple excision. Here, we report a case of nipple adenoma that projected out of the nipple along with nipple erosion, serosanguinous discharge, and occasional bleeding from the adenoma. A 37- year-old woman presented with a tumor on her right nipple for eight months, with the erosion of the nipple and serosanguinous discharge. The patient gave a history of a small amount of bleeding occasionally. Axilla was normal. The patient was advised to have a mammosonography. It showed an oval-shaped, well-demarcated, hypoechoic, uniformly solid nodule in the right nipple. There was no microcalcification seen on mammography. A punch biopsy was done to establish the diagnosis. It showed ductal hyperplasia and papillary proliferation of glandular structures suggestive of nipple adenoma. Complete resection of the tumor with partial excision of the nipple was done with a satisfactory cosmetic result. Though very uncommon, the possibility of nipple adenoma should be thought of when a patient presents with nipple erosion and discharge with or without a clinically obvious tumor. Timely diagnosis with histopathological correlation is important since it allows for less invasive surgical methods. In our case, we could attain a cosmetically satisfactory outcome without a remnant tumor. Paget\'s disease of the nipple also has a similar clinical presentation, and it is a premalignant condition. The objective of presenting this case is to highlight the possibility of this rare benign condition, which may be easily missed clinically and also demands careful histopathological examination for its correct diagnosis.