Accessory Breast on the Vulva

Godoy-Gijón, E.; Yuste-Chaves, M.; Santos‐Briz, Ángel; Esteban-Velasco, C.; Unamuno-Pérez, P. de

doi:10.1016/j.adengl.2012.04.001

Cited by 7 publications

(5 citation statements)

References 13 publications

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“…The majority of the patients were aged below 30 years, and all except two were of childbearing age. (5) The diagnosis of EBT is usually made postoperatively due to the rare nature of this condition. Differentials of vulvar mass include abscess, vulvar carcinoma, Bartholin gland disorder and epidermal cyst.…”

Section: A 1bmentioning

confidence: 99%

“…(4) The most common site is the axilla, which accounts for 60%-70% of the cases. Vulval EBT is extremely rare, with only 12 cases (5) reported thus far, based on a literature search.EBT manifests all the different features of normal breast tissue such as growth during puberty, pregnancy and lactation, as well as pathologies such as benign and malignant tumours. (6) EBT may become symptomatic during periods of hormonal stimulation such as during puberty (menarche), pregnancy and lactation.…”

mentioning

confidence: 99%

“…Some authors recommend surgical excision owing to the risk of malignant transformation; however, this is debatable given that the risk of transformation is generally low. (5)…”

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confidence: 99%

“…(4) The most common site is the axilla, which accounts for 60%-70% of the cases. Vulval EBT is extremely rare, with only 12 cases (5) reported thus far, based on a literature search.…”

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confidence: 99%

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Ectopic breast tissue in the vulva masquerading as an abscess

Ahmed

Ding

Shelat

2020

smedj

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Dear Sir, Ectopic breast tissue (EBT) along the embryonic milk lines is reported to be more common in Asian women. Hormonal changes associated with puberty, pregnancy or lactation can result in functional activity within the dormant glandular tissue, leading to symptoms. We describe the case of a 34-year-old Chinese woman who presented with a suspected vulvar abscess. Based on our literature search, this is the first case of vulvar EBT presenting as an abscess.The patient presented with a three-week history of left vulvar swelling. Although she had noted the vulvar swelling for the past two years, there had been a substantial increase in its size, accompanied by pain and discharge, over the past three weeks. She had undergone a lower-segment Caesarean section one month prior to this presentation and was currently breastfeeding a healthy baby. On examination, the patient was afebrile, and an erythematous, tender, fluctuant left labia majora swelling (5 cm × 4 cm) with purulent discharge was observed. She was diagnosed with a vulvar abscess and underwent incision and drainage under local anaesthesia. Intraoperatively, a cystic lesion of the left labia that contained whitish purulent material was evident. The entire cyst wall was excised and sent for histology. The histology report showed EBT with lactational changes and acute-on-chronic inflammation (Fig. 1). Postoperatively, she recovered well and was managed with dressing in the outpatient setting. Three months after surgery, she was seen in the outpatient clinic. On physical examination, the wound had healed with no ectopic tissue identified anywhere along the milk lines, and she was discharged from follow-up.Early in the development of the embryo, two lines develop along its lateral aspects stretching from the axilla to the groin. These lines develop into mammary ridges, which will be the future site of the breasts. Most of these ridges regress under normal circumstances except for imminent breast tissue. EBT is a congenital anomaly in which abnormal additional breast tissue is present along the mammary/milk lines. This occurs more frequently in females and is more common among Asians compared to Caucasians. According to one study, the incidence of EBT can be as high as 5% in Japanese females. (1) There is some evidence that this condition may be inherited. (2) EBT remains asymptomatic until the patient is under the hormonal influences of puberty, pregnancy or lactation. (3) Copeland and Geschickter classified EBT with an accessory nipple or areolar formation with or without glandular tissue as supernumerary breast. EBT without a nipple or areolar complex is classified as aberrant breast tissue. (4) The most common site is the axilla, which accounts for 60%-70% of the cases. Vulval EBT is extremely rare, with only 12 cases (5) reported thus far, based on a literature search.EBT manifests all the different features of normal breast tissue such as growth during puberty, pregnancy and lactation, as well as pathologies such as benign and malignant tumours. (6) EBT ...

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Section: A 1bmentioning

confidence: 99%

mentioning

confidence: 99%

“…Some authors recommend surgical excision owing to the risk of malignant transformation; however, this is debatable given that the risk of transformation is generally low. (5)…”

mentioning

confidence: 99%

“…(4) The most common site is the axilla, which accounts for 60%-70% of the cases. Vulval EBT is extremely rare, with only 12 cases (5) reported thus far, based on a literature search.…”

mentioning

confidence: 99%

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Ectopic breast tissue in the vulva masquerading as an abscess

Ahmed

Ding

Shelat

2020

smedj

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“…However, carcinoma secondary to accessory breast tissue is rare, accounting for approximately 0.3% of all breast carcinomas [12]. There is no evidence that these changes are more frequent in accessory breasts [13]. For vulvovaginal lesions, differential diagnosis includes carcinoma, Bartholin gland disorders, epidermal inclusion cyst, and crural hernia.…”

Section: Case Reportmentioning

confidence: 99%

Ectopic Breast Tissue in the Vagina Detected at the Median Episiotomy Site

Chun

Kim

2018

J Med Cases

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When regression of the milk line remnants fails during embryogenesis, ectopic breast tissues can arise at any point along the embryonic milk lines. However, ectopic breast tissues could also arise outside the milk lines. A 30-year-old pregnant woman delivered at 38 3/7weeks gestation by normal birth. In the inner side of the hymen at the median episiotomy site, a grayish-brown soft tissue was noted. A clinical provisional diagnosis of inclusion cyst was made. Postoperative histology showed the pathological features of a breast tissue. Excision is recommended for confirming this pathology and treatment. Despite its rarity, ectopic breast tissue should be considered in the differential diagnosis. This is the first case, to our knowledge, of vaginal ectopic breast tissue in a parturient woman.

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