A 35-year-old woman presented to the dermatology clinic with a painless and pigmented mass on her right nipple, which had been slowly increasing in size over four months. She also experienced itching and serous nipple discharge. She has no significant medical history, does not take oral contraceptive pills, She is unmarried and has never been pregnant or given birth, but has a family history of breast cancer. Incisional biopsy revealed a blue solitary well defined nodule, measuring 13 × 8 mm (), the skin overlying the lesion is intact. Axillary lymph nodes were not palpable. Ultrasound showed no abnormalities. Mammography showed normal breast tissue without any masses or microcalcification (). Histologically, sections showed part of cystic space in subcutis of breast with nearby mammary gland ducts, lined by tall epithelial cells with myoepithelial cells, papillary projections with hyalinized fibrovascular intraluminal dissociated epithelial cells. Focal sclerosing fibrosis embedding tiny ductal structures. No cellular atypia or suspicious mitotic activity (). The mass was successfully removed with no complications, and the patient showed no signs of recurrence at the 6-month follow-up.