BACKGROUND. Erosive adenomatosis of the nipple is a rave but distinct
benign tumor of the nipple. It is usually considered to be derived fro
m the apocrine sweat ducts of the nipple epithelium but probably of la
ctiferous duct origin. Total excision is the treatment of choice. OBJE
CTIVE. We report the clinical and histological features of this rare t
umor, and the surgical technique employed. METHODs.Treatment consisted
of Mohs micrographic surgery (MMS), fresh tissue technique, followed
by primary closure. RESULTS.The described procedure resulted in a cure
of the erosive adenomatosis of the nipple. CONCLUSION. Total excision
of erosive adenomatosis of the nipple can be obtained by MMS. This te
chnique prevents recurrence of the disease and minimizes resulting def
ormation of this important anatomic area. (C) 1998 by the American Soc
iety far Dermatologic Surgery, Inc.