Sinduja Ramanan, Kumaran Ranjith, Sundaramurthi Sudharsanan, Krishnaraj Balamourougan, Sistla Sarath Chandra
Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Cureus. 2020 Dec 2;12(12):e11844. doi: 10.7759/cureus.11844.
Carcinoma of the accessory axillary breast is uncommon, with an incidence of 0.2 to 0.6%. We report a patient whose biopsy of a suspicious lesion in the axilla present for one year revealed invasive ductal carcinoma (IDC). There was presence of breast tissue and absence of lymphoid tissue in the biopsy, suggesting a breast malignancy. Magnetic resonance mammography was suggestive of the lesion well away from the normal breast, confirming an accessory axillary breast. She was offered wide local excision of the lesion with axillary lymph node dissection and modified radical mastectomy (MRM), and she chose the latter. Her post-operative biopsy showed the involvement of all the 25 lymph nodes harvested. Any suspicious lesion in the axilla should be promptly worked up for malignancy. Accessory axillary breast carcinoma, if confirmed, can be addressed with wide local excision along with axillary lymph node dissection. However, further studies should clarify this and the outcomes.
副乳癌并不常见，发病率为0.2%至0.6%。我们报告一例患者，其腋窝处可疑病变已存在一年，活检显示为浸润性导管癌（IDC）。活检中存在乳腺组织且无淋巴组织，提示为乳腺恶性肿瘤。磁共振乳腺造影显示该病变远离正常乳腺，证实为副乳。我们为她提供了病变的广泛局部切除加腋窝淋巴结清扫和改良根治性乳房切除术（MRM），她选择了后者。她的术后活检显示所切除的25个淋巴结均有累及。腋窝处的任何可疑病变都应迅速进行恶性肿瘤排查。副乳癌一旦确诊，可通过广泛局部切除加腋窝淋巴结清扫来处理。然而，需要进一步研究来阐明这一点及相关结果。
