NDLI: Management of nipple adenomas during pregnancy: a case report

Content Provider	Springer Nature : BioMed Central
Author	Combi, Francesca Palma, Enza Montorsi, Giulia Gambini, Anna Segattini, Silvia Papi, Simona Andreotti, Alessia Tazzioli, Giovanni
Abstract	Background Nipple adenoma is a very uncommon, benign neoplasm that involves the nipple. A palpable mass of the nipple associated with nipple discharge and erosion or ulceration is the common clinical presentation. Generally, complete surgical excision of the nipple is the main treatment, alternative therapeutic methods such as Mohs micrographic surgery, nipple splitting enucleation, and cryotherapy can be considered. Disorders of the breast in young women are generally benign. Even if the management during pregnancy is usually conservative and surgical excision is reserved for very strong malignancy suspicion, benign lesions can cause the impossibility to breastfeed after giving birth when involving the nipple. Case presentation We present the case of a 28-year-old female, who was referred to the Breast Unit of the University Hospital of Modena (Italy) in May 2020 with a 12-months history of enlargement of the left nipple with associated erythema, serohemorrhagic discharge, and pain in the left nipple region. The diagnostic assessment came out in favor of a nipple adenoma. After surgical treatment was recommended, the patient got pregnant. Taking into account the major risks of surgery during pregnancy, a multidisciplinary discussion was conducted, to consider whether to proceed with surgery or postpone it after pregnancy. Because of the volume and the position of the adenoma, the indication for surgical excision was confirmed, to allow regular lactation and breastfeeding immediately after giving birth and to avoid potential obstructive complications. Surgical excision of nipple adenoma without complete resection of the nipple was performed after her first trimester of pregnancy under local anesthesia. A histopathological examination confirmed the diagnosis. No recurrence occurred after 12 months. The patient gave birth, had no deficit in lactation, and successfully breastfed. Conclusions Therefore, we consider that nipple adenoma enucleation might be a safe treatment even during pregnancy. Moreover, conservative local treatment of nipple adenomas can preserve the nipple aesthetically and functionally, thus allowing regular lactation and breastfeeding in young women.
Related Links	https://internationalbreastfeedingjournal.biomedcentral.com/counter/pdf/10.1186/s13006-023-00554-4.pdf
Ending Page	6
Page Count	6
Starting Page	1
File Format	HTM / HTML
ISSN	17464358
DOI	10.1186/s13006-023-00554-4
Journal	International Breastfeeding Journal
Issue Number	1
Volume Number	18
Language	English
Publisher	BioMed Central
Publisher Date	2023-03-21
Access Restriction	Open
Subject Keyword	Maternal and Child Health Nipple adenoma Breastfeeding Lactation Pregnancy Benign breast lesion Nipple preservation
Content Type	Text
Resource Type	Case study
Subject	Obstetrics and Gynecology Pediatrics, Perinatology and Child Health
Journal Impact Factor	2.9/2023
5-Year Journal Impact Factor	3.6/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Maternal, fetal, neonatal and breastmilk flecainide concentration during maternal therapy and lactation: a case report

A survey of breastfeeding among women with previous surgery for benign breast disease: a descriptive exploratory study

Deep breast pain during lactation: a case-control study in Sweden investigating the role of Candida albicans

Management of idiopathic granulomatous mastitis in lactation: case report and review of the literature

Lactation induction in a transgender woman: case report and recommendations for clinical practice

Induced lactation in a transgender woman: case report

Impact of childhood burn injuries on breastfeeding: a case report

Twitter discussions on breastfeeding during the COVID-19 pandemic

A cross-sectional study of lactation room quality and Dutch working mothers’ satisfaction, perceived ease of, and perceived support for breast milk expression at work

Management of nipple adenomas during pregnancy: a case report

Similar Documents

Maternal, fetal, neonatal and breastmilk flecainide concentration during maternal therapy and lactation: a case report

A survey of breastfeeding among women with previous surgery for benign breast disease: a descriptive exploratory study

Deep breast pain during lactation: a case-control study in Sweden investigating the role of Candida albicans

Management of idiopathic granulomatous mastitis in lactation: case report and review of the literature

Lactation induction in a transgender woman: case report and recommendations for clinical practice

Induced lactation in a transgender woman: case report

Impact of childhood burn injuries on breastfeeding: a case report

Twitter discussions on breastfeeding during the COVID-19 pandemic

A cross-sectional study of lactation room quality and Dutch working mothers’ satisfaction, perceived ease of, and perceived support for breast milk expression at work

Management of nipple adenomas during pregnancy: a case report