Background; basal cell carcinoma (BCC) has been considered the commonest diagnosed skin cancer, which has been more evident on the sun-exposed areas of the head and neck. The number of reported cases which have been diagnosed with BCC of the areola and nipple is gradually increasing. BCC of the areola and nipple has been considered more aggressive than BCC which has been detected in other sites of the body, as it has a greater liability for local invasion and metastatic spread to regional lymph nodes. Thus, early diagnosis and management of BCC of the areola and nipple is beneficial to decrease the incidence of its spread, hence improve patient's prognosis. Up-till 2016, only fifty-five cases of BCC of the areola and nipple had been diagnosed and reported. In the current case study, we have diagnosed another characteristic case of multifocal BCC of the nipple and areola in a sixty years old female patient, who had complained of enlargement and multi-focal ulceration of the nipple and areola.
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