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  Vol. 144 No. 7, July 2008 TABLE OF CONTENTS
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Eroded Patch on the Nipple of a 57-Year-Old Woman—Quiz Case

Rachel Kowal, MD; Christopher J. Miller, MD; Rosalie Elenitsas, MD
Hospital of the University of Pennsylvania, Philadelphia

Arch Dermatol. 2008;144(7):933-938.

Since this article does not have an abstract, we have provided the first 136 words of the full text and any section headings.

REPORT OF A CASE

A 57-year-old white woman presented with a 2-year history of an intermittently bleeding growth of her left nipple. She had no history of internal malignant disease. Findings from physical examination revealed a 1.2 x 1.1-cm eroded patch confined to approximately 60% of the left nipple (Figure 1). There was no lymphadenopathy of the regional lymph nodes. Following an initial diagnostic biopsy, the lesion was completely excised with 2 stages of Mohs micrographic surgery, and the remaining portions of the nipple were reconstructed with a complex wound repair. Sections from the excisional specimen are seen in Figure 2 and Figure 3. An immunoperoxidase stain for smooth muscle actin was also performed on this tissue.


 
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Figure 1.



 
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Figure 2.



 
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Figure 3.


What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD, MSCE; ASSISTANT SECTION EDITORS: CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; JACQUELINE M. JUNKINS-HOPKINS, MD; VINCENT LIU, MD; KARLA S. ROSENMAN, MD



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Eroded Patch on the Nipple of a 57-Year-Old Woman—Diagnosis
Arch Dermatol. 2008;144(7):933-938.
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