Abstract

A 50-year-old woman sought medical consultation due to a 7 × 8-millimeter pigmented lesion on the left nipple. It had been present for one year and showed growth for the past 6 months. The patient had a history of left breast cancer, which had been treated with 36- radiotherapy sessions on the areolar region. Clinically, the lesion was sharply demarcated with a velvety surface. Reflectance confocal microscopy (RCM), a near-infrared low-power laser (830-nm diode, power < 35 mW; Vivascope 1500, Caliber ID), and digital dermoscopy (Medicam 1000; 20× magnification, FotoFinder Systems GmbH) were performed prior to biopsy.

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