Syringomatous adenoma of the nipple: Case report

Yıl 2018, Cilt: 2 Sayı: 3, 353 - 355, 01.09.2018

Şirin Yaşar Nurhan Döner Aktaş Ayşegül Sevim Keçici Pembegül Güneş Güldehan Atış

https://doi.org/10.28982/josam.412609

Öz

Syringomatous adenoma is a rare disease of the nipple that was mostly easily confused nipple eczema or erosive nipple adenoma. Although, mammographic findings indicate carcinoma, this condition has benign, locally infiltrative characteristics. Herein, a patient with complaints of pruritus and minimal enlargement of right nipple was firstly evaluated as nipple eczema or erosive adenoma of nipple, but no response was detected with topical treatments. Patient was diagnosed with syringomatous adenoma of nipple with histopathologic examination findings that were double layered epithelial ductus proliferations which some of them had tear-drop, comma-like appearance and nipple area was excised. This rare condition is discussed with literature.

Anahtar Kelimeler

Breast, Nipple, Syringomatous adenoma

Meme başının siringomatöz adenomu: Olgu sunumu

Öz

Siringomatöz adenom, çoğunlukla meme başı ekzeması ya da meme başının eroziv adenomu ile kolayca karışabilen, meme başının nadir görülen bir hastalığıdır. Mammografik bulgular karsinomu düşündürmesine rağmen, bu tablo lokal infiltratif özellik taşımaktadır. Burada 1 yıldır sağ meme başında kaşıntı ve hafif büyüme şikayeti olan hasta öncelikle “nipple ekzema” ya da “meme başının eroziv adenomu” olarak değerlendirilmiş, ancak topikal tedavilere yanıt alınamamıştır. Hastaya, histopatolojik incelemede dermiste iki sıra epitel ile döşeli, bazıları “gözyaşı damlası - tear-drop” ve “virgül şeklinde - comma-like” görünümde duktus proliferasyonu ile meme başının siringomatöz adenomu tanısı konuldu ve meme başı eksize edildi. Bu nadir olgu literatürler eşliğinde tartışıldı. 

Anahtar Kelimeler

Meme, Meme başı, Siringomatöz adenom

Kaynakça

• 1. Rosen PP. Syringomatous adenoma of the nipple. Am J Surg Pathol. 1983;7:739–45.
• 2. Oo KZ, Xiao PQ. Infiltrating syringomatous adenoma of the nipple: clinical presentation and literature review. Arch Pathol Lab Med. 2009;133:1487-9.
• 3. Carter E, Dyess DL. Infiltrating syringomatous adenoma of the nipple: a case report and 20-year retrospective review. Breast J. 2004;10:443-7.
• 4. Sarma DP, Stevens T. Infiltrating syringomatous eccrine adenoma of the nipple: a case report. Cases J. 2009;2:9118.
• 5. Hwang TS, Ham EK, Kim JP. Syringomatous adenoma of nipple--a case report. J Korean Med Sci. 1987;2:263-5.
• 6. Toyoshima O, Kanou M, Kintaka N, Miyashita M, Shigematsu S, Sano J. Syringomatous adenoma of the nipple: report of a case. Surg Today. 1998;28:1196-9.
• 7. Coulthard D, Liston J, Young JR. Case report: infiltrating syringomatous adenoma of the breast—appearances on mammography and ultrasonography. Clin Radiol. 1993;47(1):62–4.
• 8. Jones MW, Norris HJ, Snyder RC. Infiltrating syringomatous adenoma of the nipple: a clinical and pathological study of 11 cases. Am J Surg Pathol. 1989;13:197–201.
• 9. Ward BE, Cooper PH, Subramony C. Syringomatous tumor of the nipple. Am J Clin Pathol. 1989;92:692–6.
• 10. Oliva VL, Little JV, Carlson GW. Syringomatous adenoma of the nipple--treatment by central mound resection and oncoplastic reconstruction. Breast J. 2008;14(1):102-5.
• 11. Slaughter MS, Pomerantz RA, Murad T, et al. Infiltrating syringomatous adenoma of the nipple. Surgery. 1992;111:711–3. 12. Pernick N. Pathology Outlines. Bringham Falls: Michigan by Pathology Outlines.com, Inc., 2007.