scholarly journals A Nonpalpable Nodule in Ectopic Axillary Breast Tissue: Consider Phyllodes Tumor

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Eva Ruvalcaba-Limón ◽  
Verónica Bautista-Piña ◽  
Julio Ramírez-Bollas ◽  
Ruby Espejo-Fonseca ◽  
Sergio Rodríguez-Cuevas
Keyword(s):  
Breast Imaging ◽  
Breast Tissue ◽  
Phyllodes Tumor ◽  
Screening Mammography ◽  
Histopathological Study ◽  
Surgical Specimen ◽  
Ectopic Breast Tissue ◽  
Intraoperative Radiography ◽  
Reporting Data

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.

Fibroadenoma of Ectopic Breast Tissue in the Groin – A Rare Disease Entity

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S47-S48
Author(s):  
D Emechebe ◽  
M Alshal ◽  
T Rana ◽  
M Agaronov
Keyword(s):  
Breast Tissue ◽  
Tissue Mass ◽  
Ectopic Breast Tissue ◽  
The Common ◽  
Painless Mass ◽  
The Right ◽  
Ectopic Breast ◽  
Urogenital Anomalies ◽  
Superficial Soft Tissue

Abstract Introduction/Objective Ectopic breast tissue (EBT) is a well-documented anomaly of the breast and commonly presents along the embryonic milk line extending between the axilla and groin. Reported incidence of accessory breast is 0.4–6% in females. Pathologies developing in an EBT are reported as a rare entity in the literature. Carcinoma is reported as the common pathology followed by inflammation and fibroadenoma Methods We present a case of 43-year- old female who presented with a painless mass in her right groin for the past year which gradually increased in size. CT abdomen pelvis with contrast showed a 2.2 x 3.0 x 4.4 cm superficial soft tissue mass in the right groin which was suspected to be a lymph node. Further investigation and histopathological report of biopsy showed ectopic breast tissue with admixed chronic inflammation and reactive changes.However, excision of the mass three months later showed showed proloferation of both glandular and stromal elements. Results The tissue from the biopsy was positive for GATA 3, mammoglobin, GCDFP and CD 10 and the histological features on excision was confirmatory of fibroadenoma. Conclusion In conclusion, when tumors or nodules are found along the mammary line, the presence of breast tissue should be considered during the investigation. It is clinically wise to evaluate and screen carefully cases of supernumerary breast for any pathology and for any associated urogenital anomalies such as supernumerary kidneys, polycystic kidneys and renal cell adenocaricnoma. In our case, patient had no associated urogenital anomalies and she is on follow up.

Phyllodes tumor arising in ectopic breast tissue of the axilla

Breast Cancer ◽  
2003 ◽  
Vol 10 (1) ◽  
pp. 82-84 ◽  
Author(s):  
Keiko Oshida ◽  
Mitsuru Miyauchi ◽  
Naohito Yamamoto ◽  
Toshinao Takeuchi ◽  
Masato Suzuki ◽  
...  
Keyword(s):  
Breast Tissue ◽  
Phyllodes Tumor ◽  
Ectopic Breast Tissue ◽  
Ectopic Breast

scholarly journals Malignant Phyllodes Tumor in Ectopic Breast Tissue: A Case Report with a Literature Review

2018 ◽  
Vol 06 (01) ◽  
Author(s):  
Imen Znagui ◽  
Slimani Olfa ◽  
Attia Moez ◽  
Ben Temim Riadh ◽  
Makhlouf Taher ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Breast Tissue ◽  
Phyllodes Tumor ◽  
Malignant Phyllodes Tumor ◽  
Ectopic Breast Tissue ◽  
Ectopic Breast

scholarly journals Giant phyllodes tumor in ectopic breast tissue

2020 ◽  
Vol 25 (4) ◽  
pp. 251
Author(s):  
JaiK Mahajan ◽  
UmeshBahadur Singh ◽  
Kim Vaiphei
Keyword(s):  
Breast Tissue ◽  
Phyllodes Tumor ◽  
Ectopic Breast Tissue ◽  
Ectopic Breast

scholarly journals Sensitivity of screening mammography by density and texture: a cohort study from a population-based screening program in Denmark

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
My von Euler-Chelpin ◽  
Martin Lillholm ◽  
Ilse Vejborg ◽  
Mads Nielsen ◽  
Elsebeth Lynge
Keyword(s):  
Breast Density ◽  
Breast Imaging ◽  
Breast Tissue ◽  
Screening Program ◽  
Population Based ◽  
Screening Mammography ◽  
Dense Breast Tissue ◽  
Density Score ◽  
Screening Sensitivity ◽  
Low Sensitivity

Abstract Background Screening mammography works better in fatty than in dense breast tissue. Computerized assessment of parenchymal texture is a non-subjective method to obtain a refined description of breast tissue, potentially valuable in addition to breast density scoring for the identification of women in need of supplementary imaging. We studied the sensitivity of screening mammography by a combination of radiologist-assessed Breast Imaging Reporting and Data System (BI-RADS) density score and computer-assessed parenchymal texture marker, mammography texture resemblance (MTR), in a population-based screening program. Methods Breast density was coded according to the fourth edition of the BI-RADS density code, and MTR marker was divided into quartiles from 1 to 4. Screening data were followed up for the identification of screen-detected and interval cancers. We calculated sensitivity and specificity with 95% confidence intervals (CI) by BI-RADS density score, MTR marker, and combination hereof. Results Density and texture were strongly correlated, but the combination led to the identification of subgroups with different sensitivity. Sensitivity was high, about 80%, in women with BI-RADS density score 1 and MTR markers 1 or 2. Sensitivity was low, 67%, in women with BI-RADS density score 2 and MTR marker 4. For women with BI-RADS density scores 3 and 4, the already low sensitivity was further decreased for women with MTR marker 4. Specificity was 97–99% in all subgroups. Conclusion Our study showed that women with low density constituted a heterogenous group. Classifying women for extra imaging based on density only might be a too crude approach. Screening sensitivity was systematically high in women with fatty and homogenous breast tissue.

Dense Breast Notification Laws: Impact on Downstream Imaging After Screening Mammography

2018 ◽  
Vol 77 (2) ◽  
pp. 143-154 ◽  
Author(s):  
Michal Horný ◽  
Alan B. Cohen ◽  
Richard Duszak ◽  
Cindy L. Christiansen ◽  
Michael Shwartz ◽  
...  
Keyword(s):  
New York ◽  
North Carolina ◽  
Breast Tissue ◽  
Private Health Insurance ◽  
Screening Mammography ◽  
Dense Breast ◽  
Common Finding ◽  
Dense Breast Tissue ◽  
Magnetic Resonance Imaging Mri

Dense breast tissue is a common finding that decreases the sensitivity of mammography in detecting cancer. Many states have recently enacted dense breast notification (DBN) laws to provide patients with information to help them make better-informed decisions about their health. To test whether DBN legislation affected the probability of screening mammography follow-up by ultrasound and magnetic resonance imaging (MRI), we examined the proportion of times screening mammography was followed by ultrasound or MRI for a series of months pre- and post-legislation. The subjects were women aged 40 to 64 years, covered by private health insurance, undergoing screening mammography from 2007 to 2014. Except for Hawaii, Maryland, and New York, DBN legislation significantly increased the probability of ultrasound follow-up in all states that implemented DBN legislation before December 2014. It also increased the probability of MRI follow-up in California, North Carolina, Pennsylvania, and Texas. The financial and access consequences merit further study.

scholarly journals A Benign Phyllodes Tumor in the Ectopic Breast Tissue of the Axilla: A Case Report

2015 ◽  
Vol 3 (2) ◽  
pp. 77-80
Author(s):  
Jong Eun Lee ◽  
Sun Wook Han ◽  
Sung Yong Kim ◽  
Shin Young Kim ◽  
Hyun Ju Lee ◽  
...  
Keyword(s):  
Case Report ◽  
Breast Tissue ◽  
Phyllodes Tumor ◽  
Ectopic Breast Tissue ◽  
Ectopic Breast

scholarly journals Patient-Awareness Survey: Do Breast Implants Affect the Acquisition and Accuracy of Screening Mammography?

2019 ◽  
Vol 1 (4) ◽  
pp. 297-302
Author(s):  
Kristin A Robinson ◽  
Richard J Gray ◽  
Aneri Tanna ◽  
Heidi E Kosiorek ◽  
Richard J Butterfield ◽  
...  
Keyword(s):  
Breast Augmentation ◽  
Breast Imaging ◽  
Breast Tissue ◽  
Breast Surgery ◽  
Breast Implant ◽  
Breast Implants ◽  
The United States ◽  
Screening Mammography ◽  
Patient Awareness ◽  
Institutional Review

Abstract Objective Breast implant augmentation is the most common cosmetic surgical procedure performed in the United States. The purpose of this study was to determine if patients with breast augmentation surgery are aware of the effect of breast implants on the mammographic detection of cancer. Methods An institutional review board exempt patient awareness survey was distributed at a single breast imaging facility to women undergoing screening mammography. Comparative statistical analyses were performed between patients with and without breast implants. Results The respondents were divided into three groups: no prior breast surgery (74%; 524/711), breast surgery with implants (21%; 152/711), and breast surgery without implants (5%; 35/711). Patients with breast implants were more aware that implants decrease the amount of breast tissue seen on a mammogram (75%; 105/141) and that implants result in the need for more mammogram views (70%; 103/147), as compared with patients with no surgery (46%; 221/484 and 31%; 147/478, respectively) (P < 0.001). More women with breast implants reported learning from breast imaging staff rather than from their surgeon that implants decrease the amount of breast tissue seen on a mammogram (46%; 49/106 vs. 38%; 40/106). Of 137 respondents, 35% (n = 48) reported that the effect of implants on their mammogram was discussed preoperatively. Of those who did not recall a preoperative discussion, 42% (16/38) indicated this knowledge would have factored into their decision to get breast implants. Conclusion This study highlights an opportunity for providers to engage in more education and shared decision-making with patients considering breast augmentation surgery to ensure preoperative counseling includes discussion of the effect of implants on mammography.

Phyllodes Tumor in Ectopic Breast Tissue of the Vulva

2001 ◽  
Vol 9 (1) ◽  
pp. 81-83 ◽  
Author(s):  
M. T. Chulia ◽  
A. Paya ◽  
M. Niveiro ◽  
S. Ceballos ◽  
F. I. Aranda
Keyword(s):  
Breast Tissue ◽  
Phyllodes Tumor ◽  
Ectopic Breast Tissue ◽  
Ectopic Breast

scholarly journals Results of Short-Term Follow-Up in BI-RADS 3 and 4a Breast Lesions with a Histological Diagnosis of Fibroadenoma at Percutaneous Needle Biopsy

Breast Care ◽  
2017 ◽  
Vol 12 (4) ◽  
pp. 238-242
Author(s):  
Paola Clauser ◽  
Massimo Bazzocchi ◽  
Magda Marcon ◽  
Viviana Londero ◽  
Chiara Zuiani
Keyword(s):  
Needle Biopsy ◽  
Breast Imaging ◽  
Ductal Carcinoma ◽  
False Negative ◽  
Phyllodes Tumor ◽  
Clinical History ◽  
Histological Diagnosis ◽  
Short Term ◽  
Invasive Lobular Cancer

Objective: To evaluate the usefulness of short-term (6 months) follow-up in patients with Breast Imaging Report and Data System (BI-RADS) 3 and 4a lesions, after a diagnosis of fibroadenoma at an image-guided biopsy. Patients and Methods: The data of 318 women with 349 biopsy-proven fibroadenomas, a 6-month follow-up, and a follow-up of ≥ 24 months were retrospectively reviewed. Information on clinical history, lesion characteristics on ultrasound (US), mammography, and magnetic resonance imaging (MRI), BI-RADS classification, and follow-up was collected. The false-negative (FN) rate and the negative predictive value (NPV) for the biopsy were calculated. Results: 43 patients (13.5%) presented with a palpable nodule; 18 (5.7%) had a history of breast cancer. There were 334 lesions visible on US (95.7%), 57 on US and mammography (16.3%), and 15 on mammography only (4.3%); 37 lesions were first detected on MRI. All lesions were stable at 6 months. After an at least 1-year follow-up, 4 lesions changed their features and were excised. Histology showed 1 invasive lobular cancer, 1 ductal carcinoma in situ, 1 phyllodes tumor, and 1 papilloma. The FN rate of the needle biopsy was 1.1% and the NPV was 98.9%. Conclusion: For lesions initially described as BI-RADS 3 and 4a with a histological diagnosis of fibroadenoma after biopsy, short-term follow-up can be avoided.

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