Author:
Sghaier S.,GHalleb M.,Marghli I.,Bouida A.,Ben Hassouna J.,Chargui R.,Rahal K.
Abstract
Abstract
Introduction
Ectopic breast tissue is present in 2–6% of women. Ectopic breast cancer represents an uncommon disease accounting for about 0.3% of all breast neoplasms, limiting the available evidence. Thus, we aim to report long-term outcomes in five cases treated at our institution.
Case series
Our Tunisian patients’ median age was 48 years (33–60 years), and the median follow-up was 8 years (4–10 years). The ectopic breast tissue was located four times in the right axilla. The median tumor size was 25 mm (15–55 mm). Four of the patients underwent a wide local excision and axillary lymph node dissection. Three of those women had positive lymph nodes; thus, they received adjuvant chemotherapy, radiation therapy, and hormone therapy. The patient with a negative lymph node (case 5) had adjuvant radiation therapy and hormonal therapy. One of the patients (case 1) had a positive supraclavicular lymph node and received radiation therapy, chemotherapy, and hormonal therapy. The latter developed a locoregional relapse after 4 years and was treated with mastectomy and chemotherapy. One patient (case 4) had a distant metastasis after 2 years of follow-up and received chemotherapy. The three other patients were free of relapse during their follow-up period.
Conclusion
Primary axillary breast carcinoma is a rare entity. Despite the paucity of literature, our findings and authors’ recommendations suggest that local excision can be performed safely with promising outcomes in this subset of patients.
Publisher
Springer Science and Business Media LLC
Reference31 articles.
1. Marshall MB, Moynihan JJ, Frost A, Evans SRT. Ectopic breast cancer: case report and literature review. Surg Oncol. 1994;3(5):295–304.
2. Aubert JP, Paulhe P, Magalon G. Glande mammaire surnuméraire: un cas inhabituel. In Annales de chirurgie plastique et esthétique. 1991;36(5): 457-459.
3. Amsler E, Sigal-Zafrani B, Marinho E, Aractingi S. Ectopic breast cancer of the axilla. In Annales de dermatologie et de venereologie 2002;129(12): 1389–1391.
4. Evans DM, Guyton DP. Carcinoma of the axillary breast. J Surg Oncol. 1995;59(3):190–5.
5. AvilésIzquierdo J, Martínez Sánchez D, Suárez Fernández R, LázaroOchaita P, Isabel Longo-Imedio M. Pigmented axillary nodule: carcinoma of an ectopic axillary breast. Dermatol Surg. 2005;31(2):237–9.
Cited by
5 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献