We present the case of a 66-year-old white woman with erosive adenomat
osis of the nipple, in which an initial diagnosis of Paget's disease w
as considered. Diagnosis of erosive adenomatosis of the nipple was mad
e by the characteristic histologic findings on a biopsy specimen, This
essentially benign condition is generally unilateral, with erythema,
crusting, and hardening of the nipple. Histologic findings of erosive
adenomatosis of the nipple eliminate the diagnosis of invasive carcino
ma or Paget's disease, which can have clinical features similar to tho
se of erosive adenomatosis of the nipple.