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    Challenging skin cancer diagnoses

    Common cancer in uncommon location contrasted with uncommon cancer in classic location


    Case Presentation 


    Figure 1

    A 91-year old well-appearing white female with history of non-melanoma skin cancer presents with an asymptomatic “rash” on her right nipple of unknown duration. On physical exam, the patient has a broad red patch with adherent scaling involving her right nipple and areola, extending beyond onto the surrounding skin (Figure 1). No palpable mass of the breast nor localized lymphadenopathy were noted on physical exam.



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