Management of nipple loss caused by excision of a nipple adenoma: a reconstructive case

Abstract

Nipple adenomas are rare benign tumors that present as a palpable nodule, often accompanied by serous or bloody discharge, ulceration, hyperkeratosis, nipple deformities, and/or erosion. The standard treatment for nipple adenoma is total surgical excision; however, this procedure may result in the loss of the nipple. Although nipple reconstruction is an option, there is a paucity of literature describing cases wherein nipple reconstruction was performed after the total excision of the nipple for adenoma. We describe a rare case of a 29-year-old woman who underwent total nipple excision and subsequent nipple reconstruction with a C-V flap. After a year of follow-up, the patient was still satisfied with the cosmetic outcomes of her surgical reconstruction, which we have summarized along with our follow-up strategies.