Manejo de un tumor benigno del pezón infrecuente en un hospital terciario. El adenoma de pezón

Abstract

Nipple adenoma is a benign tumor that originates in the milk ducts of the nipple. The objective of our study is to describe and compare the casuistry of nipple adenoma in our center between January 2009 and December 2019 with the literature. Our case series consists of 5 patients. They are all women, aged between 40 and 82 years. Two patients consulted for telorrhagia and the rest were referred from primary care for new-onset nipple lesions. Imaging tests did not present specific findings. The result of the preoperative biopsy was diagnostic of nipple adenoma in all cases. In all cases, simple exeresis of the lesion was performed. No patient presented recurrence or appearance of carcinoma with a mean follow-up of 31 months. One patient died for other reasons. In conclusion, the importance of the biopsy and the immunophenotypic study to perform the differential diagnóstico with other pathologies such as Paget's disease or nipple carcinoma should be highlighted. Surgical management shows no changes compared to the literature, preferring more conservative options such as local excision with excellent long-term results.