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A Study of Evaluation and Management of Rare Congenital Breast Diseases.

Identifieur interne : 000B14 ( PubMed/Checkpoint ); précédent : 000B13; suivant : 000B15

A Study of Evaluation and Management of Rare Congenital Breast Diseases.

Auteurs : Rikki Singal [Inde] ; Sudhir Kumar Mehta [Inde] ; Jyoti Bala [Inde] ; Muzzafar Zaman [Inde] ; Amit Mittal [Inde] ; Guarav Gupta [Inde] ; Samer Rudra [Inde] ; Samita Singal [Inde]

Source :

RBID : pubmed:27891392

Abstract

Polymastia and polythelia may be asymptomatic or cause pain, restriction of arm movement, milk discharge, cosmetic problems or anxiety. Cosmesis is the main indication for surgical excision of accessory breasts in axilla. In addition it also confirms the diagnosis and allays the patient's fear of harbouring a malignancy.

DOI: 10.7860/JCDR/2016/21077.8648
PubMed: 27891392


Affiliations:


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pubmed:27891392

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<div type="abstract" xml:lang="en">Polymastia and polythelia may be asymptomatic or cause pain, restriction of arm movement, milk discharge, cosmetic problems or anxiety. Cosmesis is the main indication for surgical excision of accessory breasts in axilla. In addition it also confirms the diagnosis and allays the patient's fear of harbouring a malignancy.</div>
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<Month>11</Month>
<Day>28</Day>
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<Year>2017</Year>
<Month>08</Month>
<Day>16</Day>
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<Title>Journal of clinical and diagnostic research : JCDR</Title>
<ISOAbbreviation>J Clin Diagn Res</ISOAbbreviation>
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<ArticleTitle>A Study of Evaluation and Management of Rare Congenital Breast Diseases.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Polymastia and polythelia may be asymptomatic or cause pain, restriction of arm movement, milk discharge, cosmetic problems or anxiety. Cosmesis is the main indication for surgical excision of accessory breasts in axilla. In addition it also confirms the diagnosis and allays the patient's fear of harbouring a malignancy.</AbstractText>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">To evaluate the presentation of symptoms, investigations required for diagnosis and the management to improve the treatment protocols in patients with breast diseases.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">This retrospective study on breast diseases presenting as supernumerary breasts and nipples was conducted in the Department of Surgery between January 2013 and January 2016 at MMIMS Research and hospital, Mullana, Ambala. Patients were evaluated for breast diseases, either benign or malignant in both genders. A total of 32 cases diagnosed as accessory breasts disease were retrieved from the hospital archive. The clinical and radiological evaluation was done in the form of ultrasound and mammography wherever necessary. Accessory breast tissues were excised under general anesthesia and histopathological examinations were done.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Out of 32 cases: 1(3.125%) male patient had unilateral and 1(3.125%) male had bilateral accessory nipple, 7 (21.87%) females had unilateral and 1(3.125%) had bilateral accessory nipple, 1 (3.125%) diagnosed as accessory axillary fibroadenoma in female, 16(50%) presented as unilateral and 5 (15.62%) had bilateral swelling in the axilla as accessory breast. Patients underwent surgical excision and in 8(25%) cases z- shaped incision was made in view of better cosmesis. Patients were followed up upto 6 months postoperatively. There were no residual swelling and movements of the arm over the shoulder joint were normal. In 3(9.37%) cases, wound dehiscence occurred; in 2 (6.25%) cases lymphoedema formation was seen. These were successfully managed conservatively.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">As breast swellings either fibroadenoma or carcinoma are common entities to come across everywhere but accessory breasts are rarely encountered especially in rural areas because of less awareness. The study found that there was tendency to neglect the swelling as there were minimal symptoms present. We also came across a rare entity, accessory breast and accessory nipples. A clinician should not ignore such cases taking as simple swelling because of chances of discovering a malignancy can occur.</AbstractText>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Accessory breast</Keyword>
<Keyword MajorTopicYN="N">Axilla</Keyword>
<Keyword MajorTopicYN="N">Lymph node</Keyword>
<Keyword MajorTopicYN="N">Malignancy</Keyword>
<Keyword MajorTopicYN="N">Milk line</Keyword>
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<name sortKey="Zaman, Muzzafar" sort="Zaman, Muzzafar" uniqKey="Zaman M" first="Muzzafar" last="Zaman">Muzzafar Zaman</name>
</country>
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</affiliations>
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