Abstract： To the Editor:A 28-year-old woman complained of a lesion with blood discharging on her right nipple.She noticed a nodule on her right nipple,with blood discharging and crust for 2 months,and the symptom of blood discharging happened frequently for almost a month.Physical examination revealed a nodule 10-mm in diameter,with an opening in the center,erosion and crusting in places,and no lesion in areola [Figure la].Breast palpation failed to reveal any mass,and axillary lymph node examination was negative.