Grama Florin, Voiculescu Ștefan, Vîrga Ema, Burcoş Traean, Cristian Daniel
Chirurgia (Bucur). 2016 Nov-Dec;111(6):527-531. doi: 10.21614/chirurgia.111.6.527.
We illustrate a rare case of a 28 year-old woman with bilateral axillary masses, which were uncovered during her first pregnancy only and grew progresively in size ever since. On local examination, there were two 5/3/5 cm masses with benign clinical characteristics, developed apparently on the axillary extension of the mammary gland. During lactation, a milk-like liquid was evacuated through a brownish, rudimentary, nipple located in the center of each axillary masses. One year after parturition, the MRI showed bilateral axillary breast tissue appearance, separated from the eutopic mammary gland, but having similar signal intensity. Due to aesthetic reasons and the additional risk for subsequent malignant or benign breast disease, the ectopic breast tissues were completely surgically removed. The histology report showed normal glandular breast tissue.
我们展示了一例罕见病例,一名28岁女性双侧腋窝有肿块,仅在首次怀孕时被发现,此后肿块大小逐渐增大。局部检查发现有两个5/3/5厘米的肿块,具有良性临床特征,明显位于乳腺的腋窝延伸部位。哺乳期时,一种类似乳汁的液体通过每个腋窝肿块中央的褐色、发育不全的乳头排出。分娩后一年,磁共振成像显示双侧腋窝乳腺组织表现,与正常位置的乳腺分离,但信号强度相似。出于美观原因以及后续发生乳腺良恶性疾病的额外风险,异位乳腺组织被完全手术切除。组织学报告显示为正常的乳腺腺组织。