A 21-year-old woman with a 5-cm secretory carcinoma of the breast was
successfully treated by wide segmental excision, including removal of
a portion of the nipple. At presentation, she had a 5-year history of
predominantly yellow and occasionally bloody discharge from the nipple
. The tumour had classical histological features of secretory carcinom
a with surrounding hyaline fibrous tissue predominating, a feature pre
viously associated with a good prognosis. Identification by frozen sec
tion of extension near the nipple led to intraoperative excision of a
nipple segment. She is healthy with a satisfactory cosmetic result 14
years after excision and has breast fed two children from the affected
breast.