Journal of the Korean Society of Radiology (Mar 2024)

Primary Invasive Ductal Carcinoma Arising in Axillary Accessory Breast: A Case Report

  • Seo Young Park,
  • Jeeyeon Lee,
  • Ji Young Park,
  • Gab Chul Kim,
  • Jongmin Park,
  • Jung Geun Cha,
  • Hye Jung Kim

DOI
https://doi.org/10.3348/jksr.2023.0041
Journal volume & issue
Vol. 85, no. 2
pp. 421 – 427

Abstract

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Ectopic breast tissue can develop along the mammary ridge from the axilla to the groin, and the most common site is the axillae. Primary carcinoma of ectopic breast tissue is extremely rare. We report a rare case of a 61-year-old woman with a palpable mass in her left axilla who had a history of surgical excision of accessory breast tissue in the same area. Mammography (MMG), including axillary tail view, ultrasound (US), and breast MRI were performed. We evaluated the extent and characteristics of the microcalcifications in the axillary tail view. A US-guided biopsy was done, and histopathology revealed an invasive ductal carcinoma. Enhanced abdominal CT revealed multiple hepatic masses consistent with metastases, and the patient received palliative chemotherapy. Herein, we present a rare case of breast cancer arising from accessory breast tissue in the axilla, best appreciated on the axillary tail view of the patient’s MMG.

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