A novel practice presented in this article features clinical cases introducing this technique as it is applied to the lactating breast, conclusively distinguishing normal from abnormal and illustrating the efficacy and added diagnostic value of this approach. Improvements in dermoscopy involving polarization obviate the need for full contact with the examined surface, thereby providing anatomical detail in three dimensions. The dermatoscope is a useful tool, enlarging and illuminating an area of epidermis to obtain an optimal image. Traditional direct inspection is clearly inadequate for this task. Examination of the superficial breast plays a key role in accurate diagnosis. To overcome these difficulties, timely diagnosis is crucial to effectively treat the underlying pathology and permit resumption of breastfeeding. Many women, however, experience nipple pain while breastfeeding, leading to premature cessation of nursing. It is well recognized that breastmilk provides optimal nutrition and immunological protection for infants. "Seeing Is Believing": Dermatoscope Facilitated Breast Examination of the Breastfeeding Woman with Nipple Pain. Ultrasound-guided core needle biopsy revealed spindle cell proliferation consistent with leiomyoma of the nipple A dynamic MRI study showed a rim-enhancing oval mass with delayed persistent enhancement. MRI showed an oval mass with circumscribed margins that appeared as an intermediate signal intensity on both T1- and T2-weighted images. To the best of our knowledge, this is the first case of a leiomyoma of the nipple examined by MRI. This mass was evaluated by mammography, ultrasonography, and magnetic resonance imaging (MRI). She came to our hospital complaining of a recently enlarged nipple with discharge and erosion in the region of the left nipple-areolar complex. We report an unusual case of leiomyoma of the nipple in a 32-year-old woman in whom the diagnosis was made by ultrasound-guided core needle biopsy. Leiomyoma of the nipple is a rare, benign, non-epithelial tumor that is thought to arise from smooth muscle fibers in the subareolar tissue of the breast. International Nuclear Information System (INIS)Ĭho, Hyung JI Kim, Sung Hun Kang, Bong Joo Kim, Hanna Song, Byung Joo Lee, Ah Won Physical examination was unremarkable except for bilateral breast enlargement and right-sided old shingles scar in the T4 dermatome distribution. As his CD4 cell count at diagnosis was less than 200 cells/mm3, he was prescribed trimethoprim-sulphamethoxazole (Bactrim for prophylaxis against pneumonia due to pneumocystis jirovecii. He was diagnosed with human immunodeficiency virus (HIV infection 16 months ago and was initiated on antiretroviral therapy (ARV, which consisted of zidovudine, lamivudine and efavirenz. There was no bleeding or nipple discharge. Directory of Open Access Journals (Sweden)įull Text Available Figure 1 is a picture of a 48-year-old male patient who presents with progressive painful enlargement of the areolae of 10 months’ duration.
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