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Article
April 1991

A Solitary Papule on the Nipple

Author Affiliations

Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

Arch Dermatol. 1991;127(4):571-576. doi:10.1001/archderm.1991.04510010171022
Abstract

REPORT OF A CASE  A 35-year-old man presented with an asymptomatic solitary nodule on the right nipple. The lesion began as a small papule and had slowly grown over a period of 10 years. A history of trauma, erosion, or nipple discharge was lacking. His medical history revealed tuberculosis at age 34 years.The physical examination disclosed an enlarged right nipple (0.8 × 0.8 cm), in comparison with the left nipple (0.5 × 0.5 cm). A whitish, dome-shaped, hard papule adhering to the overlying skin that could be separated from the adjoining tissue was noted (Fig 1). The lesion was surgically excised. Representative histologic sections are shown in Figs 2 and 3.What is your diagnosis?

DIAGNOSIS:  Nodular leiomyoma of the nipple.

HISTOPATHOLOGIC FINDINGS  A nonencapsulated tumor that involved superficial and deep dermis, merging imperceptibly within the surrounding

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