Abstract

Ectopic breast tissue (EBT) is rare with a reported incidence of 0.4-6% worldwide, the commonest site being the axilla. It results from incomplete regression of the embryonic mammary ridges that extend bilaterally from the axillae to the groins, and may be associated with other clinical syndromes. EBT comprises accessory breasts, in which there is an accessory nipple, areola, or both, with or without glandular tissue, and aberrant breast tissue, in which the ectopic glandular tissue is without a nipple or areola. Aberrant breast tissue may remain asymptomatic until menarche, pregnancy, or lactation, when it responds to hormonal fluctuation. Diagnosis is important as EBT is subject to all pathologies of the normal breast, including cancer. We present the case of a 38-year-old multipara with bilateral aberrant axillary breasts noted only during her last pregnancy who had excision of the masses in the puerperium.

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