Title Recurrent syringomatous adenoma of the nipple following a misdiagnosis: A case report /
Authors Abeciūnas, Vilius ; Jurgaitis, Kęstutis ; Jakutis, Nerijus
DOI 10.4103/njcp.njcp_1_20
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Is Part of Nigerian journal of clinical practice.. Mumbai : Wolters Kluwer Medknow Publications. 2020, vol. 23, no. 9, p. 1324-1327.. ISSN 1119-3077. eISSN 2229-7731
Keywords [eng] Adenoma ; breast ; latissimus dorsi muscle flap ; syringomatous.
Abstract [eng] Infiltrating syringomatous adenoma of the nipple (SAN) is a rare benign neoplasm of the breast that is often misdiagnosed. SAN may present with a subareolar lesion and clinical, mammographic, and ultrasonographic findings associated with malignancy. We present the case of a 60-year-old woman with a painful, firm, solid tumor in her left breast and deformation of the left nipple-areolar complex (NAC). Histopathological test results were conflicting. The tumor, including the NAC were locally excised. Postsurgical immuno-histochemical tests revealed squamous histology, whereas myoepithelial cells were present in the resected specimen, a feature consistent with SAN. The pathologist noted microscopically positive surgical margins. Three months after surgery, tumor recurrence occurred. The patient underwent revision surgery with wide excision of the skin and gland around the lesion, followed by immediate breast reconstruction, using a pedicled myocutaneous latissimus dorsi (pLD) flap. Extreme care should be taken when diagnosing SAN to ensure proper treatment and prevent recurrence.
Published Mumbai : Wolters Kluwer Medknow Publications
Type Journal article
Language English
Publication date 2020
CC license CC license description