Pigmented basal cell carcinoma of the nipple-areola complex mimicking malignant melanoma in a 61-year-old Thai woman: a case report and literature review

Although rare, pigmented BCC of the NAC should be considered in the differential diagnosis of persistent pigmented NAC lesions that mimic malignant melanoma. Systematic clinical assessment, dermoscopic evaluation when available, and timely biopsy when indicated are important to establish the diagnosis and guide appropriate management. Given the short follow-up duration, longer surveillance is required to assess long-term disease control.