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Patchy areolar hyperpigmentation 6 years after augmentation mastopexy: a case report
Roberto Bracaglia1, Damiano Tambasco, Stefano Gentileschi
1Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, Largo A. Gemelli, 8-00168, Rome, Italy.
Aesthetic Plastic Surgery
|January 31, 2013
Summary
A rare case of benign areolar melanosis in a pregnant woman resolved naturally after delivery. This condition, initially suspected as malignant melanoma, highlights the importance of accurate diagnosis in pregnancy.
Area of Science:
- Dermatology
- Obstetrics & Gynecology
- Surgical Oncology
Background:
- A pregnant patient presented with suspected malignant melanoma of the areola.
- History of bilateral augmentation mammoplasty and periareolar mastopexy with prior areolar necrosis and depigmentation.
Observation:
- The patient exhibited hyperpigmentation patches on the left areola during her 20-week gestation.
- Biopsies from eight affected areas were performed for diagnostic evaluation.
Findings:
- Histopathological examination confirmed the diagnosis of benign areolar melanosis.
- The areolar hyperpigmentation completely resolved postpartum.
Implications:
- This case underscores the importance of differentiating benign pigmented lesions from melanoma during pregnancy.
- Benign areolar melanosis is a rare, non-malignant condition that can spontaneously resolve after childbirth.
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