Case14

Supernumerary nipple and pigmented growing lesion on the breast

Alin Laurentiu Tatu

Faculty of Medicine and Pharmacy, University ,,Dunarea de Jos “, Galati, Romania

 
Corresponding author: Alin Laurentiu Tatu, MD PhD, E-mail: dralin_tatu@yahoo.com

Submission: 31.01.2017; Acceptance: 04.02.2017

DOI: 10.7241/ourd.2017e.3

How to cite this article: Tatu AL. Supernumerary nipple and pigmented growing lesion on the breast. Our Dermatol Online. 2017;8(1e):e4.


 

A 39 years old woman with family history of melanoma was recommended from the surgery department for a pigmented lesion on the right breast. The patient observed between other known pigmented nevi this pigmented and slowly but continous growing lesion since 8 months ago. On examination, there was a supernumerary nipple on the superior part of the breast and a  nonhomogenous pigmented lesion with a brown color, a slight warty surface, that was firm and mobile with the skin and had discrete rim of pigmented globules and streaks at the periphery suggesting a nevus Spitz –like pigmented lesion on her inferior part of the breast (Fig. 1a). Dermoscopy revealed a 7,5-mm lesion with light brown fingerprint-like parallel structures at the periphery, ‘fat fingers’ (the gyri of a cerebriform central area) (Fig. 1b). A presumptive dermoscopic diagnosis of supernumerary nipple and benign seborrheic keratosis was made.
 

Figure 1a: Supernumerary nipple and pigmented growing lesion on the breast.

Figure 1b: Dermoscopy revealed a cerebriform pattern of a seborrheic keratosis.

 

Notes

Source of Support: Nil,

Conflict of Interest: None declared.


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