Radiologic and Pathologic Findings of Axillary Intraductal Papilloma
Arising in Accessory Breast Tissue: A Case Report and Literature Review

Seong Jae      Bae; Go      Eun Yang

doi:10.2174/1573405618666220511193557

Abstract

Introduction: This is a rare case report of axillary intraductal papilloma arising in accessory breast tissue.

Case Presentation: A 49-year-old woman presented to our clinic with a palpable right axillary mass that had first appeared 6 months earlier. Mammography and ultrasonography of the right axilla revealed an ovoid mass surrounding accessory breast tissue. Ultrasound-guided 14-G core-needle biopsy was performed and pathologically revealed intraductal papilloma without atypia.

Conclusion: Since ectopic breast tissue is affected by the same pathologic processes as normal breast tissue, a core-needle biopsy can be used to identify the suspicious lesions in axillary breast tissue.

Keywords: Intraductal papilloma, biopsy, axilla, breast, atypia, mammography.

[1]
Tavassoli FA, Devilee P. Pathology and genetics of tumours of the breast and female genital organs World Health Organ Classif Tumours Vol IV, Lyon, France: IARC Press  2003; pp. 250.

[2]
Spinardi JR, Gonçalves ÍRD, La Falce TS, Fregnani JHTG, Barros MD, Macéa JR. Benign inclusions in lymph nodes. Int J Morphol  2007; 25(3): 625-9.
 [http://dx.doi.org/10.4067/S0717-95022007000300026]

[3]
DeFilippis EM, Arleo EK. The ABCs of accessory breast tissue: Basic information every radiologist should know. AJR Am J Roentgenol  2014; 202(5): 1157-62.
 [http://dx.doi.org/10.2214/AJR.13.10930] [PMID:  24758674]

[4]
Cottom H, Rengabashyam B, Turton PE, Shaaban AM. Intraductal papilloma in an axillary lymph node of a patient with human immunodeficiency virus: A case report and review of the literature. J Med Case Reports  2014; 8(1): 162.
 [http://dx.doi.org/10.1186/1752-1947-8-162] [PMID:  24884898]

[5]
Goyal S, Puri T, Gupta R, Julka PK, Rath GK. Accessory breast tissue in axilla masquerading as breast cancer recurrence. J Cancer Res Ther  2008; 4(2): 95-6.
 [http://dx.doi.org/10.4103/0973-1482.42258] [PMID:  18688128]

[6]
Richter-Ehrenstein C, Tombokan F, Fallenberg E-M, Schneider A, Denkert C. Intraductal papillomas of the breast: Diagnosis and management of 151 patients. Breast  2011; 20(6): 501-4.
 [http://dx.doi.org/10.1016/j.breast.2011.05.004] [PMID:  21640590]

[7]
Youk JH, Kim E-K, Kwak JY, Son EJ, Park B-W, Kim S-I. Benign papilloma without atypia diagnosed at US-guided 14-gauge core-needle biopsy: Clinical and US features predictive of upgrade to malignancy. Radiology  2011; 258(1): 81-8.
 [http://dx.doi.org/10.1148/radiol.10100728] [PMID:  20971773]

[8]
Bakker JR, Sataloff DM, Haupt HM. Breast cancer presenting in aberrant axillary breast tissue. Community Oncol  2005; 2(2): 117-20.
 [http://dx.doi.org/10.1016/S1548-5315(11)70863-4]

[9]
Ichihara S, Ikeda T, Kimura K, et al. Coincidence of mammary and sentinel lymph node papilloma. Am J Surg Pathol  2008; 32(5): 784-92.
 [http://dx.doi.org/10.1097/PAS.0b013e31815c6c9d] [PMID:  18379415]

[10]
Dzodic R, Stanojevic B, Saenko V, et al. Intraductal papilloma of ectopic breast tissue in axillary lymph node of a patient with a previous intraductal papilloma of ipsilateral breast: A case report and review of the literature Diagn Pathol  2010; 5(1): 17.
 [http://dx.doi.org/10.1186/1746-1596-5-17] [PMID: 20222992]

[11]
McDivitt RW, Stewart FW, Berg JW Tumors of the breast US Department of Defense, Armed Forces Institute of Pathology 1968.

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DOI https://dx.doi.org/10.2174/1573405618666220511193557	Print ISSN 1573-4056
Publisher Name Bentham Science Publisher	Online ISSN 1875-6603

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Radiologic and Pathologic Findings of Axillary Intraductal Papilloma Arising in Accessory Breast Tissue: A Case Report and Literature Review

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