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Case report
Florid papillomatosis of the nipple
  1. Baithma Jothi Dinesh1,2,
  2. Firdaus Hayati3,
  3. Nornazirah Azizan4 and
  4. Nor Faezan Abdul Rashid5
  1. 1 Department of Surgery, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia
  2. 2 Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia
  3. 3 Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  4. 4 Department of Pathobiology and Medical Diagnostic, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  5. 5 Department of Surgery, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
  1. Correspondence to Dr Firdaus Hayati, firdaushayati{at}gmail.com

Abstract

Florid papillomatosis (FP) of the nipple, or nipple adenoma, is a rare breast tumour, affecting middle-aged group population. A 46-year-old woman presented to us with a cauliflower-like FP of the right nipple with no blood stained discharge or breast lump. FP can be mistaken clinically for Paget’s disease and occasionally misinterpreted as invasive ductal or intraductal carcinoma. Extensive intervention, correct diagnosis and prompt treatment are essential. Any breast pathology requires triple assessment including FP of the nipple. Once the diagnosis of ductal carcinoma is excluded, simple complete excision can be undertaken. This is to ensure complete obliteration of disease recurrence and preservation of cosmetic result. We discuss the pathology and psychosocial aspects of FP.

  • breast surgery
  • general surgery
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Footnotes

  • Contributors BJD: preparation of the manuscript. FH and NA: manuscript review. NFAR: final revision of the manuscript.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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