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December 1978

Basal Cell Carcinoma of the Nipple

Author Affiliations


From the Dermatology Service, Department of Medicine, Letterman Army Medical Center, Presidio of San Francisco, Calif.

Arch Dermatol. 1978;114(12):1845. doi:10.1001/archderm.1978.01640240075024

Basal cell carcinoma of the nipple is an exceedingly rare occurrence. A recent review of the literature on this subject covering the period from 1893 to 1974 disclosed a total of seven cases.1 We present a case of a patient with basal cell carcinoma of the nipple.

Report of a Case  A 72-year-old man complained of an enlarged right nipple of two to three years' duration. He had noticed some drainage on occasion, but ulceration had not occurred.On physical examination, the right nipple was larger than the left nipple, normal in color, slightly firm, and nontender. The areola was uninvolved and there were no underlying masses or axillary adenopathy. He was otherwise in good health. Differential diagnoses included appendageal tumor, leiomyoma, and basal cell carcinoma.A 4-mm punch biopsy specimen of the nipple confirmed the diagnosis of basal cell carcinoma. An elliptical excision was performed, and obtaining adequate

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