Treatment of nevoid hyperkeratosis of the nipple and areola using a radiofrequency surgical unit

BACKGROUND. Nevoid hyperkeratosis of the nipple and areola (NHNA) is a rare condition of unknown etiology. Verrucous thickening and pigmentation of the nipple and areola are the main features of the condition. Different therapeutic options, both medical and surgical, have been described. OBJECTIVE. To use a radiofrequency surgical unit to treat an NHNA case, which was unresponsive to keratolytic therapy. MATERIALS AND METHODS. The lesions of the nipple and areolas were excised tangentially with a diamond-shaped electrode of a radiofrequency surgical unit under local anesthesia. RESULTS. The patient had a good cosmetic appearance after the treatment, and there was no recurrence at the ninth postoperative month. CONCLUSION. Radiofrequency for tangential excision in the treatment of NHNA lesions that have not responded to medical therapy can be an alternative surgical method.