A Nonpalpable Nodule in Ectopic Axillary Breast Tissue: Consider Phyllodes Tumor
Benign and malignant pathology can develop in ectopic axillary breast tissue, such as fibroadenomas, phyllodes tumors, and breast cancer. We present a rare case of an asymptomatic 43-year-old woman with an axillary nodule which was identified during screening mammography within ectopic axillary brea...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Pathology |
| Online Access: | http://dx.doi.org/10.1155/2016/3603262 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832554977962229760 |
|---|---|
| author | Eva Ruvalcaba-Limón Verónica Bautista-Piña Julio Ramírez-Bollas Ruby Espejo-Fonseca Sergio Rodríguez-Cuevas |
| author_facet | Eva Ruvalcaba-Limón Verónica Bautista-Piña Julio Ramírez-Bollas Ruby Espejo-Fonseca Sergio Rodríguez-Cuevas |
| author_sort | Eva Ruvalcaba-Limón |
| collection | DOAJ |
| description | Benign and malignant pathology can develop in ectopic axillary breast tissue, such as fibroadenomas, phyllodes tumors, and breast cancer. We present a rare case of an asymptomatic 43-year-old woman with an axillary nodule which was identified during screening mammography within ectopic axillary breast tissue, initially considered as a suspicious lymph node. Radiologic studies were considered as Breast Imaging-Reporting Data System (BI-RADS) 4. A hyperdense, lobular, and well-circumscribed nodule was identified in mammogram while the nodule by ultrasound (US) was hypoechoic with indistinct microlobular margins, without vascularity by Doppler, and measuring 1.26×1 cm. Core-needle biopsy reported a fibroepithelial neoplasm. The patient was submitted to local wide-needle excision located in intraoperative radiography of the surgical specimen and margin evaluation. Final histopathological study reported a 1.8×1.2 cm benign phyllodes tumor, with irregular, pushing, and clear wide margins within normal ectopic breast tissue. The patient without surgical complications continued annual screening without recurrence during a follow-up that took place 24 months later. |
| format | Article |
| id | doaj-art-e32e3bc7dd7f4af4a73fa816f802ee61 |
| institution | Kabale University |
| issn | 2090-6781 2090-679X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pathology |
| spelling | doaj-art-e32e3bc7dd7f4af4a73fa816f802ee612025-02-03T05:49:57ZengWileyCase Reports in Pathology2090-67812090-679X2016-01-01201610.1155/2016/36032623603262A Nonpalpable Nodule in Ectopic Axillary Breast Tissue: Consider Phyllodes TumorEva Ruvalcaba-Limón0Verónica Bautista-Piña1Julio Ramírez-Bollas2Ruby Espejo-Fonseca3Sergio Rodríguez-Cuevas4Department of Breast Surgical Oncology, Instituto de Enfermedades de la Mama y Fundación del Cáncer de Mama (IEM-FUCAM), Mexico City, MexicoDepartment of Pathology, IEM-FUCAM, Mexico City, MexicoDepartment of Breast Surgical Oncology, Instituto de Enfermedades de la Mama y Fundación del Cáncer de Mama (IEM-FUCAM), Mexico City, MexicoDepartment of Radiology, IEM-FUCAM, Mexico City, MexicoDepartment of Breast Surgical Oncology, Instituto de Enfermedades de la Mama y Fundación del Cáncer de Mama (IEM-FUCAM), Mexico City, MexicoBenign and malignant pathology can develop in ectopic axillary breast tissue, such as fibroadenomas, phyllodes tumors, and breast cancer. We present a rare case of an asymptomatic 43-year-old woman with an axillary nodule which was identified during screening mammography within ectopic axillary breast tissue, initially considered as a suspicious lymph node. Radiologic studies were considered as Breast Imaging-Reporting Data System (BI-RADS) 4. A hyperdense, lobular, and well-circumscribed nodule was identified in mammogram while the nodule by ultrasound (US) was hypoechoic with indistinct microlobular margins, without vascularity by Doppler, and measuring 1.26×1 cm. Core-needle biopsy reported a fibroepithelial neoplasm. The patient was submitted to local wide-needle excision located in intraoperative radiography of the surgical specimen and margin evaluation. Final histopathological study reported a 1.8×1.2 cm benign phyllodes tumor, with irregular, pushing, and clear wide margins within normal ectopic breast tissue. The patient without surgical complications continued annual screening without recurrence during a follow-up that took place 24 months later.http://dx.doi.org/10.1155/2016/3603262 |
| spellingShingle | Eva Ruvalcaba-Limón Verónica Bautista-Piña Julio Ramírez-Bollas Ruby Espejo-Fonseca Sergio Rodríguez-Cuevas A Nonpalpable Nodule in Ectopic Axillary Breast Tissue: Consider Phyllodes Tumor Case Reports in Pathology |
| title | A Nonpalpable Nodule in Ectopic Axillary Breast Tissue: Consider Phyllodes Tumor |
| title_full | A Nonpalpable Nodule in Ectopic Axillary Breast Tissue: Consider Phyllodes Tumor |
| title_fullStr | A Nonpalpable Nodule in Ectopic Axillary Breast Tissue: Consider Phyllodes Tumor |
| title_full_unstemmed | A Nonpalpable Nodule in Ectopic Axillary Breast Tissue: Consider Phyllodes Tumor |
| title_short | A Nonpalpable Nodule in Ectopic Axillary Breast Tissue: Consider Phyllodes Tumor |
| title_sort | nonpalpable nodule in ectopic axillary breast tissue consider phyllodes tumor |
| url | http://dx.doi.org/10.1155/2016/3603262 |
| work_keys_str_mv | AT evaruvalcabalimon anonpalpablenoduleinectopicaxillarybreasttissueconsiderphyllodestumor AT veronicabautistapina anonpalpablenoduleinectopicaxillarybreasttissueconsiderphyllodestumor AT julioramirezbollas anonpalpablenoduleinectopicaxillarybreasttissueconsiderphyllodestumor AT rubyespejofonseca anonpalpablenoduleinectopicaxillarybreasttissueconsiderphyllodestumor AT sergiorodriguezcuevas anonpalpablenoduleinectopicaxillarybreasttissueconsiderphyllodestumor AT evaruvalcabalimon nonpalpablenoduleinectopicaxillarybreasttissueconsiderphyllodestumor AT veronicabautistapina nonpalpablenoduleinectopicaxillarybreasttissueconsiderphyllodestumor AT julioramirezbollas nonpalpablenoduleinectopicaxillarybreasttissueconsiderphyllodestumor AT rubyespejofonseca nonpalpablenoduleinectopicaxillarybreasttissueconsiderphyllodestumor AT sergiorodriguezcuevas nonpalpablenoduleinectopicaxillarybreasttissueconsiderphyllodestumor |