NEOPLASM wholly limited to a pedunculated nipple is unusual,1 occurring in a male it is rare,2 and associated with Paget's disease, probably unique. Because the presence of Paget's disease, even in a male breast, generally warrants radical mastectomy3 we feel this case should be reported together with the findings at surgery and a note on the result of standard histochemistry. Report of Case A 53-year-old Department of the Army civilian worker entered the US Army Medical Command, Japan, Zama Hospital in April of 1965 with the complaint of a bleeding left nipple. He had first noted what was thought to be a blood clot in the nipple in 1957. This was a dull red to black lesion. Compresses were applied and healing occurred. Through the next eight years the nipple grew, almost imperceptibly, until it became about the size of a normal female nipple. Once or twice