We report herein an uncommon tumor of the nipple. A 26 year-old woman visited our outpatient department of plastic surgery for skin lesion and discharge from the right nipple. Biopsy was performed on the lesion, and diagnosed as papillary adenoma. The nipple was resected and reconstructed including adjacent subareolar tissue. Thus, full thickness skin was harvested from labium minor and grafted on the reconstructed nipple. Donor site was primarily closed. On the histologic study, the lesion was compatible with florid papillomatosis of the nipple(adenoma of the nipple). In 2 months follow-up period, we could not find any complications such as skin necrosis, infection, wound dehiscence, or tumor recurrence. This is a case of papillary adenoma of the nipple which was excised and successfully reconstructed with local flap.