Presentation
Palpable non-ulcerated lump in the left nipple with a clear discharge
Patient Data
Age: 45 years
Gender: Female
From the case:
Nipple adenoma
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Axial MR Perfusion
Vascular mass with mixed perfusion pattern including washout in the medial left nipple.
Case Discussion
An enhancing nipple mass has few differential diagnoses. It is not Paget disease of the nipple (i.e. a more diffuse malignant process rather a discrete mass as in this case). Nipple adenoma is a type of intraductal papilloma that arises within the lactiferous ducts of the nipple thus it is a florid form of papillomatosis.