Ann Dermatol.
2011 Oct;23(Suppl 2):S201-S204. 10.5021/ad.2011.23.S2.S201.
Pigmented Basal Cell Carcinoma of the Nipple-Areola Complex in an Elderly Woman
- Affiliations
-
- 1Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea. weonju@knu.ac.kr
- 2Department of Surgery, Kyungpook National University School of Medicine, Daegu, Korea.
- KMID: 2156789
- DOI: http://doi.org/10.5021/ad.2011.23.S2.S201
Abstract
- Basal cell carcinoma (BCC), which frequently occurs in sun-exposed areas of the head and neck region, is the most common cutaneous malignancy. The nipple-areola complex (NAC) is an uncommon site for BCC to develop. BCCs in this region display more aggressive behavior and a greater potential to spread than when found in other anatomical sites. This paper outlines the case of 67-year-old female with a solitary asymptomatic black plaque on the right areola. The lesion was initially recognized as Paget's disease of the nipple by a general surgeon. However, the histopathological features showed a tumor mass of basaloid cells, a peripheral palisading arrangement and scattered pigment granules. Finally, the patient was diagnosed with pigmented BCC of the NAC and was referred to the department of dermatology. Positron emission tomography-computed tomography revealed the absence of distant metastasis. A wide excision was done. The lesion resolved without recurrence or metastasis during 14 months of follow-up.
