Breast Painful Swelling at Breast Tail in Lactating Lady in Her Fourth Birth: A Rare Case of Sudden Accessory Breast Tissue with Intraoperative Finding of Significant Milk

Reem Alsalamah

 
For citation: Alsalamah R. Breast Painful Swelling at Breast Tail in Lactating Lady in Her Fourth Birth: A Rare Case of Sudden Accessory Breast Tissue with Intraoperative Finding of Significant Milk. International Journal of Biomedicine. 2025;15(1):218-219. doi:10.21103/Article15(1)_CR3
 
Originally published March 5, 2025

Abstract: 

Accessory breast tissue is an uncommon condition that affects 2%-6% of women, a third of whom have more than one area of supernumerary tissue growth. We present a case of accessory breast tissue in a 34-year-old woman with a month-long history of bilateral chest pain associated with a bilateral breast tail mass. She has four children; the youngest is six months old and breastfeeding. The patient underwent excision of both masses. Intraoperatively, we found that the area of concern showed breast tissue full of a large amount of milk, which explained her symptoms. The patient underwent the intervention with no intra or postoperative complications. After a two-year follow-up, the patient is doing fine with no concern; radiologically, there is no residual breast tissue in the area of concern.

Keywords: 
accessory breast tissue • breast painful swelling • lactation
References: 
  1. Lesavoy MA, Gomez-Garcia A, Nejdl R, Yospur G, Syiau TJ, Chang P. Axillary breast tissue: clinical presentation and surgical treatment. Ann Plast Surg. 1995 Oct;35(4):356-60. PMID: 8585676.
  2. Gabriel A, Fritzsche S, Creasman C, Baqai W, Mordaunt D, Maxwell GP. Incidence of breast and chest wall asymmetries: 4D photography. Aesthet Surg J. 2011 Jul;31(5):506-10. doi: 10.1177/1090820X11410868. Epub 2011 Jun 1. PMID: 21632915.
  3. Castaño M. Dorsal scapular supernumerary breast in a woman. Case report. Plast Reconstr Surg. 1969 May;43(5):536-7. doi: 10.1097/00006534-196905000-00020. PMID: 5781833.
  4. Brightmore TG. Cystic lesion of a dorsal supernumerary breast in a male. Proc R Soc Med. 1971 Jun;64(6):662-3. PMID: 5090521; PMCID: PMC1812304.
  5. Loukas M, Clarke P, Tubbs RS. Accessory breasts: a historical and current perspective. Am Surg. 2007 May;73(5):525-8. PMID: 17521013.
  6. Patel PP, Ibrahim AM, Zhang J, Nguyen JT, Lin SJ, Lee BT. Accessory breast tissue. Eplasty. 2012;12:ic5. Epub 2012 Apr 23. PMID: 22536461; PMCID: PMC3336208.
  7. Kajava Y. The proportions of supernumerary nipples in the Finnish population. Duodecim. 1915;1:143–170. 
  8. Aydogan F, Baghaki S, Celik V, Kocael A, Gokcal F, Cetinkale O, Unal H. Surgical treatment of axillary accessory breasts. Am Surg. 2010 Mar;76(3):270-2. PMID: 20349654.
  9. Fan J. Removal of accessory breasts: a novel tumescent liposuction approach. Aesthetic Plast Surg. 2009 Nov;33(6):809-13. doi: 10.1007/s00266-009-9373-5. PMID: 19488809.

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Received December 12, 2024.
Accepted January 20, 2025.
©2025 International Medical Research and Development Corporation.