Syringomatous adenoma of the nipple--treatment by central mound resection and oncoplastic reconstruction

The Breast Journal
Virginia L OlivaGrant W Carlson

Abstract

Syringomatous adenoma (SA) of the nipple is a rare tumor first described by Rosen in 1983. It is histologically similar to skin adnexal tumors in other parts of the body. It has been reported under several names including low-grade adenosquamous carcinoma, SA of the nipple, and infiltrating SA of the nipple. Clinical examination and mammographic evidence yield high suspicion for carcinoma and often these lesions are misdiagnosed. Because the lesion involves the nipple, surgical treatment has ranged from local excision to mastectomy. There are 31 cases reported in the English literature, and although they all recommend complete excision, none describe reconstructive efforts. This case report describes a case of SA of the nipple presenting as a chronic abscess. We discuss the surgical treatment including reconstruction after central mound resection as well as pathological findings.

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Citations

Sep 1, 2012·Surgical Pathology Clinics·Timothy M D'Alfonso, Sandra J Shin
Jun 9, 2009·Current Problems in Surgery·Kristin L CoxV Suzanne Klimberg
May 28, 2009·Journal of Cutaneous Pathology·Robert N PageDavid L Page
Nov 14, 2015·Journal of Medical Case Reports·Shoichi IshikawaToshiaki Manabe
Mar 27, 2012·The American Journal of Surgical Pathology·Kathy Kawaguchi, Sandra Jean Shin
Sep 12, 2020·Nigerian Journal of Clinical Practice·V AbeciunasN Jakutis
Sep 3, 2009·Archives of Pathology & Laboratory Medicine·Khine Z Oo, Philip Q Xiao

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