A Case of Erosive Adenomatosis of Nipple Treated with Total Excision Using Purse-String Suture

Adenomatose erosiva do mamilo

“…3,4,7,9 Symptoms may be exacerbated during the premenstrual period. 3,8 During this stage the disease is clinically indistinguishable from Paget's disease of the breast. At a later stage the nipple has a firm (hard or elastic), nodular, deformed appearance like in our patient, allowing a differential diagnosis with other diseases.…”

“…[4][5][6][7][8] In 1962 Handley and Thackray questioned Jones' findings because the original micrographs showed an adenomatous lesion. 1 Shortly afterwards, Le Gal called the condition "erosive adenomatosis" because of the erosive nature of the lesion.…”

“…3 It occurs predominantly in women between forty and fifty years of age, with an average age of 45 years. 1,3,4,7,8 It can on rare occasions be found in men and children 1,4,5,7,8 . Because of its insidious development, it is frequently found by chance and is usually diagnosed late.…”

“…A purse-string suture can be used to close the incision after circular excision of the lesion. 2,8 Although a rare condition, EAN has been gaining ever greater recognition. The role of the dermatologist in the diagnosis and treatment of the disease has become increasingly important in recent years as a result of reports of successful treatment with cryotherapy and MMS.…”

“…4 Clinically, the most important differential diagnosis is with Paget's disease, while histologically it is with malignant mammary neoplasms and tumors of the apocrine glands. 1,4,5,8,10 In the past, diagnostic errors led to unnecessary major surgery, increasing treatment morbidity. 1,5 Nowadays, the treatment of choice is a simple resection of the tumor with a local anesthetic.…”