Accessory breast tissue (Mammae Aberrans) presenting as an axillary mass: A case report

DOI: https://doi.org/10.33024/minh.v8i9.1484

Authors

  • Anak Agung Ary Yuliani RSU Bhakti Rahayu, Denpasar, Bali
  • Anak Agung Ngurah Pretangga RSU Bhakti Rahayu, Denpasar, Bali

Accessory Breast Tissue Axillary Mass Ectopic Breast Tissue Histopathology Mammae Aberrans

Abstract

Background: Mammae aberrans, also known as accessory or ectopic breast tissue, is a rare congenital condition that arises due to incomplete regression of the embryonic mammary ridge. Although it is often asymptomatic, in some cases it may enlarge, become tender, or resemble other axillary abnormalities, which can complicate diagnosis and management. Given its rarity and similarity to other axillary lesions, clinicians must exercise caution to ensure accurate diagnosis and appropriate management.

Purpose: To describe in detail the clinical features, diagnostic process, and surgical management of a 27-year-old female patient presenting with an axillary mass later identified as mammae aberrans.

Method: The report is based on a single clinical case involving a young female patient who presented with a progressively enlarging mass in her right axilla. The diagnostic process included physical examination, ultrasonography, and histopathological analysis. The patient underwent surgical excision of the mass under general anesthesia, followed by postoperative observation and follow-up to monitor recovery and possible recurrence.

Results: Clinically, the mass was firm, immobile, and measured approximately 12 × 8 × 6 cm. Ultrasonography indicated fibro-glandular tissue, and the histopathological examination confirmed the diagnosis of mammae aberrans. The surgical removal of the mass was successful, with the patient showing good postoperative recovery. No pain, complications, or recurrence were reported during follow-up visits.

Conclusion: Highlights the importance of considering accessory breast tissue in the differential diagnosis of axillary masses, especially in women of reproductive age. Early and accurate diagnosis, followed by appropriate surgical management, can lead to complete recovery, prevent misdiagnosis, and improve cosmetic and psychological outcomes for the patient.

Downloads

Download data is not yet available.

References

Agarwal, A., Kaur, B., Singh, S. K., Bansal, A., & Rani, D. (2025). Clinicopathological mimics of accessory breast tissue: A case series with cytological and histological correlation. International Journal of Research in Medical Sciences, 13(10), 4317–4320.

Alghamdi, H., & Abdelhadi, M. (2005). Accessory breasts: When to excise?. The Breast Journal, 11(2), 155–157.

Burdick, A. E., Thomas, K. A., Welsh, E., Powell, J., & Elgart, G. W. (2003). Axillary polymastia. Journal of the American Academy of Dermatology, 49(6), 1154–1156.

Castaño, M. (1969). Dorsal scapular supernumerary breast in a woman. Plastic and Reconstructive Surgery, 43(5), 536–537.

DeFilippis, E. M., & Arleo, E. K. (2014). The ABCs of accessory breast tissue: Basic information every radiologist should know. American Journal of Roentgenology, 202(5), 1157–1162.

Evans, D. M., & Guyton, D. P. (1995). Carcinoma of the axillary breast. Journal of Surgical Oncology, 59(3), 190–195.

Fantakis, A., Toutziari, E., Kolympa, G., Chatzikomnitsa, P., Alexandrou, D., & Papadopoulos, V. (2025). Ectopic breast cancer mimicking an epidermal inclusion cyst: Case report with review of the literature. Archives of Surgery and Clinical Case Reports, 8, 247.

Gagnier, J. J., Kienle, G., Altman, D. G., Moher, D., Sox, H., & Riley, D. (2013). The CARE guidelines: Consensus-based clinical case reporting guideline development. Global Advances in Health and Medicine, 2(5), 38–43.

Goyal, S., Puri, T., Gupta, R., Julka, P. K., & Rath, G. K. (2008). Accessory breast tissue in axilla masquerading as breast cancer recurrence. Journal of Cancer Research and Therapeutics, 4(2), 95–96.

Lee, K. E., Kang, J., Kang, W. Y., & Woo, O. H. (2025). A case report on ductal carcinoma in situ arising from axillary accessory breast tissue. Journal of the Korean Society of Radiology, 86(1), 154.

Lewis, J., Mutindori, C., Beohon, B., Gantt, B., Hammett, N., Henry, A., Kitchens, A., Burros, C., & Ibidapo-Obe, O. (2025). Beyond the normal breast anatomy: A case of benign bilateral accessory breasts. SAGE Open Medical Case Reports, 13, 2050313X251357051.

Lim, H. S., Kim, S. J., Baek, J. M., Kim, J. W., Shin, S. S., Seon, H. J., & Heo, S. H. (2017). Sonographic findings of accessory breast tissue in axilla and related diseases. Journal of Ultrasound in Medicine, 36(7), 1469–1478.

Marshall, M. B., Moynihan, J. J., Frost, A., & Evans, S. R. T. (1994). Ectopic breast cancer: Case report and literature review. Surgical Oncology, 3(5), 295–304.

Mazine, K., Bouassria, A., & Elbouhaddouti, H. (2020). Bilateral supernumerary axillary breasts: A case report. Pan African Medical Journal, 36(1).

Patel, P. P., Ibrahim, A. M. S., Zhang, J., Nguyen, J. T., Lin, S. J., & Lee, B. T. (2012). Accessory breast tissue. Eplasty, 12, ic5.

Preda, M., Kundnani, N. R., Buzas, R., Dema, S., Carabineanu, A., Miclaus, C. D., Ilina, R., Cretu, O. M., & Blidisel, A. (2024). Synchronous primary metastatic infra-mammary accessory breast cancer and ipsilateral breast cancer: An extremely rare case report. Diagnostics, 14(23), 2699.

Salati, S. A., & Al Sulaim, L. S. (2023). Male accessory breast cancer: A review of literature. Breast Global Journal, 1(4), 141–153.

Thasanabanchong, P., & Vongsaisuwon, M. (2020). Unexpected presentation of accessory breast cancer presenting as a subcutaneous mass at costal ridge: A case report. Journal of Medical Case Reports, 14(1), 45.

Tomey, V. S., Shivsharan, P. S., Kalbande, S. S., & Joshi, M. S. (2024). Accessory breast tissue—A matter for exigence!. Journal of Family Medicine and Primary Care, 13(9), 3926–3930.

Wainwright, S. (2010). Book review: Langman’s medical embryology (11th ed.). Journal of Physical Therapy Education, 24(3), 81.

Walizai, T. (2024). Accessory breast tissue. Radiopaedia. Retrieved November 5, 2025, from https://radiopaedia.org/articles/accessory-breast-tissue

Walker, N., & Capiro, N. (2025). Case: Accessory breast tissue. UCLA Health. Available from: https://www.uclahealth.org/departments/radiology/education/breast-imaging-teaching-resources/cases/case-accessory-breast-tissue

Yefter, E. T., & Shibiru, Y. A. (2022). Fibroadenoma in axillary accessory breast tissue: A case report. Journal of Medical Case Reports, 16(1), 341.

Downloads

Published

2025-11-30

How to Cite

Accessory breast tissue (Mammae Aberrans) presenting as an axillary mass: A case report. (2025). MIN, 8(9), 1224-1230. https://doi.org/10.33024/minh.v8i9.1484