This 54-year-old woman complained of an itchy patch on her right nipple for 4 months. Scratching resulted in thickening of the overlying skin and intermittent drainage of serosanguinous fluid. Application of topical antiseptics did not help with symptoms. Examination revealed eczematous changes over the nipple and an ill defined nodule in the lower lateral quadrant.
annular crusting and hyperpigmentation with central scale and erythema and nodule
some times oozes serosanguinous fluid. Local application of antiseptics didnot help her
much. Local examination revealed eczematous nipple and an ill defined nodular lesion in the
lower lateral quadrant. FNAC revealed highly cellular smear with large atypical ductal
epithelial cells arranged in clusters and also in discohesion having large nuclei and
irregualr nuclear membrane. cytoplasm is moderate with well defined borders. There are no
naked nuclei in the background. Scrapings from the nipple area also revealed a few similar