Clinician to Clinician: A curious nipple lesion

Article

The mother who came into my office was tense.She was worried that her 9-year-old daughter's bleeding nipple might be cancer. The lesion, the mother said, had been present for 2 months, didn't respond to cortisone cream, and, "it is getting worse."

Physical examination showed that the child did, in fact, have a nipple lesion, which bled a little on contact. There was some inflammation, evidently caused by the child's scratching. But the nipple had no lump under it nor was it ulcerated. I found no evidence of lymphadenopathy, nor of any other lesions on the girl. As I puzzled over a diagnosis, the mother told me that she had taken her child to the emergency room, to a pediatrician, and to the family physician, to no avail. Aware of the breast cancer history in her family, the mother wanted something done immediately because antibiotics and creams were not working.

I scheduled the child for a biopsy the next day, which I took under IV sedation. My only nipple biopsy, it produced excellent cosmetic results and, more importantly, a definitive diagnosis: molluscum contagiosum. No further treatment was necessary for this most unusual, solitary breast lesion.

Related Videos
Why doxycycline PEP lacks clinical data for STI prevention in women
The importance of nipocalimab’s FTD against FNAIT | Image Credit:  linkedin.com
Enhancing cervical cancer management with dual stain | Image Credit: linkedin.com
Fertility treatment challenges for Muslim women during fasting holidays | Image Credit: rmanetwork.com
Understanding the impact of STIs on young adults | Image Credit: providers.ucsd.edu.
CDC estimates of maternal mortality found overestimated | Image Credit: rwjms.rutgers.edu.
Study unveils maternal mortality tracking trends | Image Credit: obhg.com
How Harmonia Healthcare is revolutionizing hyperemesis gravidarum care | Image Credit: hyperemesis.org
Unveiling gender disparities in medicine | Image Credit:  findcare.ahn.org.
Exploring the intersection of heart health and women's health | Image Credit: cedars-sinai.org
Related Content
© 2024 MJH Life Sciences

All rights reserved.