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An 83-year-old man presented with a one-month history of an enlarging lump on his right nipple. It was asymptomatic. Physical examination revealed an 11-mm erythematous, well-circumscribed nodule attached to the right nipple, which had begun to ulcerate in the center (Panel A), and a normal left nipple (Panel B). The nodule was excised with a 5-mm margin. Histologic examination showed an intraductal and invasive ductal adenocarcinoma of the breast, with the cancer invading the nipple from below. The patient underwent a complete mastectomy and axillary-node dissection. No residual carcinoma was found, and all lymph nodes were free of cancer, indicating . . . [Full Text of this Article] |
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