Dinesh Baithma Jothi, Hayati Firdaus, Azizan Nornazirah, Abdul Rashid Nor Faezan
Department of Surgery, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia.
BMJ Case Rep. 2019 Sep 18;12(9):e231516. doi: 10.1136/bcr-2019-231516.
Florid papillomatosis (FP) of the nipple, or nipple adenoma, is a rare breast tumour, affecting middle-aged group population. A 46-year-old woman presented to us with a cauliflower-like FP of the right nipple with no blood stained discharge or breast lump. FP can be mistaken clinically for Paget's disease and occasionally misinterpreted as invasive ductal or intraductal carcinoma. Extensive intervention, correct diagnosis and prompt treatment are essential. Any breast pathology requires triple assessment including FP of the nipple. Once the diagnosis of ductal carcinoma is excluded, simple complete excision can be undertaken. This is to ensure complete obliteration of disease recurrence and preservation of cosmetic result. We discuss the pathology and psychosocial aspects of FP.
乳头的 florid 乳头瘤病（FP），即乳头腺瘤，是一种罕见的乳腺肿瘤，影响中年人群。一名 46 岁女性因右乳头出现菜花状 FP 前来就诊，无血性溢液或乳腺肿块。FP 在临床上可能被误诊为佩吉特病，偶尔也会被误判为浸润性导管癌或导管内癌。广泛的干预、正确的诊断和及时的治疗至关重要。任何乳腺病变都需要进行包括乳头 FP 在内的三重评估。一旦排除导管癌的诊断，即可进行简单的完整切除。这是为了确保疾病复发完全消除并保持美容效果。我们讨论了 FP 的病理学和社会心理方面。
