Double purse-string suture surgical wound closure after excision
of nipple adenoma of the breast: a case report.
Kanelina Bimpa1, Theodosia
Charitou1, Apostolos C. Ziogas2,
Konstantinos Kantounis3, Emmanouil
Xydias4, Mattheos Bobos5,6, Elias
Tsakos1
1Department of Breast Surgery, Embryoclinic, IVF Unit,
Thessaloniki, Greece
2University of Thessaly, School of Health Sciences,
Department of Medicine
3Department of Dermatology, Private Clinic,
Thessaloniki, Greece.
4University of Thessaly, School of Health Sciences,
Department of Medicine
5Department of Biomedical Sciences, School of Health
Sciences, International Hellenic University, Alexandrian Campus,
Thessaloniki, Greece.
6 Μicrodiagnostics Ltd Pathology Lab, Thessaloniki,
Greece.
Correspondence to:
Apostolos C. Ziogas, University of Thessaly, School of Health Sciences,
Department of Medicine
Rousvelt Street, 24
41222
Larissa, Greece
+30 241 400 8018
ziogasapo@hotmail.com
Declarations of interest: none
Abstract : Although nipple adenoma of the breast is a benign
disease, it is often included in the differential diagnosis of various
breast malignancies. We present a rare case of nipple adenoma in a
53-year-old Caucasian woman. The lesion presented with a hemorrhagic
nipple surface and was treated with wide surgical excision of the nipple
and part of the surrounding areola using a double purse-string surgical
closure of the remaining areolar area. This technique was considered
safe and effective and aimed to reconstruct the remaining areolar area,
thus providing the patient with an acceptable aesthetic result. Double
purse-string surgical closure is proposed as a unique and
straightforward, oncologically safe surgical procedure. This technique
combines complete removal of the nipple adenoma, preservation of the
remaining areola, minimization of skin flattening at the reconstructed
area, improvement of the long-term aesthetic result and provision of a
satisfactory surgical option for the patient.
Keywords : Breast, Nipple, Nipple adenoma, Nipple and Areaola
reconstruction, Case report
Key clinical message: Nipple adenoma is a rare, benign
pathology that requires adequate excision and satisfactory surgical
reconstruction. Our excision and double purse-string suture method
covered both requirements, forgoing necessitation of special training of
the surgeon or expensive equipment, thus rendering it a simple, safe and
effective treatment option.