PMC5726669_01
A bright-red, exudative, lobulated plaque with a crusty surface on the
right nipple and areola
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f1
Upon physical examination, two well-defined, excrescent, fleshy, violaceous and exudative tumoral masses were revealed affecting both nipples/areola mammae (Figure 1).
Markedly acanthotic epidermis, with fused rete ridges. Clear cell in the
Malpighian layer (Hematoxylin & eosin, X10)
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PMC5726669_01_abd-92-05-s1-0027-g02.jpg
f2
Findings included a markedly acanthotic epidermis with fused rete ridges (Figure 2).
Individual cells showing clear cytoplasm. The epidermis and dermis showed
infiltration by neutrophils and eosinophils (Hematoxylin & eosin,
X40)
abd-92-05-s1-0027-g03.jpg
PMC5726669_01_abd-92-05-s1-0027-g03.jpg
f3
Both dermis and epidermis showed infiltration by neutrophils and eosinophils (Figure 3).
Treatment led to rapid improvement, with disappearance of lesions after 3
months
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f4
Rapid improvement was seen and lesions disappeared after 3 months of treatment (Figure 4).