Preoperative and postoperative images. (a) Local finding of the left nipple: a red granulation-like tumor on top of the nipple. The mass was soft and fragile and bled easily. (b) The resected specimen contained a solid mass continuing with a projected mass. (c) At the end of the operation: curative excision of the lesion through a periareolar incision under local anesthesia. The mass was resected at a latex duct opening on top of the nipple, similar to a microdochectomy. (d) One month postoperatively.