An intriguing case of an unusually large nipple mass

Fibroepithelial polyp or acrochordon is a common dermatological finding, but its presence in an uncommon location can create diagnostic difficulties. We present here a case of a young, unmarried female who presented with complaints of a dark-brown colored soft, and non-tender pedunculated mass growing from her right nipple for a very long time. It was asymptomatic but had been gradually increasing in size, which raised concern in the patient and her mother. Excisional biopsy was performed as both a diagnostic and therapeutic modality for the patient’s condition. Histopathology of the sample was suggestive of epidermal papillomatosis and variable mild acanthosis surrounding a core of fibrovascular tissue with dense collagen fibers. The lesion was diagnosed as a benign fibroepithelial polyp, which is quite uncommon in the nipple–areola complex.