A Rare Case of Axillary Fibroadenoma in Accessory Breast Masquerading Malignancy.

IF 0.7 Q4 ONCOLOGY
Indian Journal of Surgical Oncology Pub Date : 2024-12-01 Epub Date: 2024-10-16 DOI:10.1007/s13193-024-02110-w
Arushi, Sana Ahuja, Sufian Zaheer
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引用次数: 0

Abstract

Fibroadenoma presenting in the axilla is a rare occurrence often associated with ectopic breast tissue. Accessory breast(s) are characterized by the existence of additional breasts, exceeding the typical count of two, accompanied by or without a nipple and areola, in human anatomy. It can manifest at any point along the primitive embryonic milk lines, which extend from the armpit to the groin region. This case report describes a 39-year-old female presenting with right axillary swelling and a history of fibroadenoma excision from the contralateral breast. Emphasizing the importance of considering this condition in the axillary differential diagnosis, it highlights the diagnostic challenge of distinguishing it from metastatic lymphadenopathy. Fine needle aspiration cytology (FNAC) plays a crucial role in early diagnosis, leading to a favorable prognosis following excision. Management strategies for fibroadenomas vary based on symptoms and concerns, ranging from observation to surgical excision. This case underscores the rarity of axillary fibroadenoma, necessitating individualized management approaches and emphasizing the pivotal role of cytological evaluation in guiding appropriate interventions for optimal patient outcomes. The case also underscores the importance of considering accessory breast masses in the differential diagnosis of axillary lumps, given their potential for malignant transformation and clinical implications.

副乳腺伪装性恶性肿瘤腋窝纤维腺瘤1例。
腋窝纤维腺瘤是一种罕见的疾病,通常与异位乳腺组织有关。副乳的特征是存在额外的乳房,超过典型的两个,伴有或不伴有乳头和乳晕,在人体解剖学中。它可以表现在从腋窝延伸到腹股沟的原始胚胎乳线的任何一点。这个病例报告描述了一个39岁的女性表现为右腋窝肿胀和对侧乳房纤维腺瘤切除术的历史。强调在腋窝鉴别诊断中考虑这种情况的重要性,它强调了将其与转移性淋巴结病区分开来的诊断挑战。细针穿刺细胞学(FNAC)在早期诊断中起着至关重要的作用,导致切除后良好的预后。纤维腺瘤的治疗策略因症状和关注点而异,从观察到手术切除。本病例强调腋窝纤维腺瘤的罕见性,需要个性化的治疗方法,并强调细胞学评估在指导适当干预以获得最佳患者结果方面的关键作用。该病例也强调了在鉴别诊断腋窝肿块时考虑副乳腺肿块的重要性,因为它们有可能发生恶性转化和临床意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
190
期刊介绍: The Indian Journal of Surgical Oncology aims to encourage and promote clinical and research activities pertaining to Surgical Oncology. It also aims to bring in the concept of multidisciplinary team approach in management of various cancers. The Journal would publish original article, point of technique, review article, case report, letter to editor, profiles of eminent teachers, surgeons and instititions - a short (up to 500 words) of the Cancer Institutions, departments, and oncologist, who founded new departments.
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