Axillary accessory breast: presentation and treatment
DOI:
https://doi.org/10.18203/2349-2902.isj20163571Keywords:
Accessory breast, Axillary breast, Ectopic breast tissueAbstract
Background: The axillary accessory breast tissue develops as part of polymastia along the milk line. This is of common occurrence in women. The clinical presentation can be from asymptomatic to cyclical changes. Enlargement of axillary accessory breast tissue is during pregnancy and lactation. The most common reason for seeking surgical consultation is anxiety for development of carcinoma. Small number of women opted for surgery purely for cosmetic reason.
Methods: A total of 60 women were included in the study. The age of these women was between 19 to 50 years. Fifty women opted for surgical excision.
Results: The most common symptom in these patients was exacerbation during pregnancy and lactation in 30 patients. This enlargement was the also the most common cause anxiety by patients for development of carcinoma. The palpable thickening in 10 patients was another cause of anxiety. Only 6 patients had large pendulous mass and had already made up their mind for removal of this mass. The clinical presentation in rest of the patients represented comparatively small number of patients.
Conclusions: The potential of malignancy in accessory axillary breast is more than normal breast, it is essential to investigate these patients. The surgical excision of these accessory breasts is quite safe and is recommended for all the patients having symptoms.
References
Grossl NA. Supernumerary breast tissue: historical prospective and clinical features. South Med J. 2000;93(1):29-32.
Shultz M, Vatsayan A. Accessory breast tissue. O and G Magazine. 2013;15(2):64-7.
Loukas M, Clarke P, Tubbs RS. Accessory breasts: a historical and current prospective. Am Surg. 2007;73(5):525-8.
Kajava Y. The proportions of supernumerary nipples in the Finnish population. Duodecim. 1915;1:143-70.
Velanovich V. Ectopic breast tissue, supernumerary breasts and supernumerary nipples. South Med J. 1995;88(9):903-6.
Sahu S, Hussain M, Sachan P. Bilateral accessory breast. Internet J Surg. 2007;17(2);1-4.
Lakkawar NJ, Maran G, Srinivasan S, Rangaswamy T. Axillary breast tissue in the axilla in a puerperal woman-case study. Acta Medica Medianae. 2010;49(4):45-7.
Solanki R, Choksi DB, Duttaroy DD. Accessory breast tissue presenting as a large pendulous mass in the axilla: a diagnostic dilemma. N Z Med J. 2008;121(1277):76-8.
Jung H, Jung SH. Accessory breast carcinoma. Breast care. 2009;4(2):104-6.
Bartsich SA, Ofodile FA. Accessory breast tissue in the axilla: classification and treatment. Plast Reconstr Surg. 2011:128(1):35-6.
Aydogan F, Baqhaki S, Celik V, Kocael A, Gokcal F, Cetinkale O, et al. Surgical treatment of axillary accessory breasts. Am Surg. 2010;76(3):270-2.
Lesavoy MA, Gomez-Garcia A, Nejdl R, Yospur G, Syiau TJ, Chang P. Axillary breast tissue: clinical presentation and surgical treatment. Ann Plast Surg. 1996;36(6):661-2.
Down S, Barr L, Baildam AD, Bundred N. Management of accessory breast tissue in axilla. Br J Surg. 2003;90(10):1213-4.
Fan J. Removal of accessory breasts: a novel tumescent liposuction approach. Asthetic Plast Surg. 2009;33(6):809-13.