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中华医学超声杂志（电子版）

中华医学超声杂志（电子版） ›› 2015, Vol. 12 ›› Issue (10) : 778 -781. doi: 10.3877/cma.j.issn.1672-6448.2015.10.008

所属专题： 乳腺超声； 文献；

浅表器官超声影像学

腋下副乳腺肿瘤超声表现特征
荣雪余1, 朱强1,†(), 马腾1, 刘娟1, 郭宁1, 周帅1   
  1. 1. 100730　首都医科大学附属北京同仁医院超声诊断科
  • 收稿日期:2015-05-05 出版日期:2015-10-01
  • 通信作者: 朱强

Sonographic features of tumor in ectopic axillary breast tissue

Xueyu Rong1, Qiang Zhu1,†(), Teng Ma1, Juan Liu1, Ning Guo1, Shuai Zhou1   

  1. 1. Department of Diagnostic Ultrasound, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2015-05-05 Published:2015-10-01
  • Corresponding author: Qiang Zhu
  • About author:
    Corresponding author: Zhu Qiang, Email:
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引用本文：

荣雪余, 朱强, 马腾, 刘娟, 郭宁, 周帅. 腋下副乳腺肿瘤超声表现特征[J]. 中华医学超声杂志（电子版）, 2015, 12(10): 778-781.

Xueyu Rong, Qiang Zhu, Teng Ma, Juan Liu, Ning Guo, Shuai Zhou. Sonographic features of tumor in ectopic axillary breast tissue[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2015, 12(10): 778-781.

目的

探讨腋下副乳腺肿瘤超声声像图特征。

方法

回顾性分析2007年1月至2015年3月首都医科大学附属北京同仁医院经病理证实的5例腋下副乳腺肿瘤患者超声声像图特点。5例腋下副乳腺肿瘤中，3例伴胀痛，2例无胀痛。1例哺乳期有溢液。病理证实4例为副乳纤维腺瘤，1例为副乳癌。

结果

超声声像图显示5个肿块均为低回声，内部回声均匀。4个副乳纤维腺瘤为椭圆形，边界清晰，血流信号呈少量或中量血流。1个副乳癌形态不规则，边界欠清，血流信号丰富。超声声像图显示3个纤维腺瘤周围见类乳腺腺体回声，1个纤维腺瘤及1个副乳癌周围未见类乳腺腺体回声。

结论

腋下肿瘤周围类乳腺腺体回声及典型临床症状有助于副乳腺肿瘤的诊断。

关键词: 副乳腺, 肿瘤, 超声检查
Objective

To observe the sonographic features of tumor developed in ectopic axillary breast tissue.

Methods

The sonographic features of five patients with tumor developed in ectopic axillary breast tissue confirmed by histopathology in Beijing Tongren Hospital, Capital Medical University from January 2007 to March 2015 were retrospectively reviewed. Among five patients with tumor originated from ectopic axillary breast tissue, 3 had regional swelling and tenderness, 2 presented without pain. There was scant secretion from one tumor during lactation. There were 4 fibroadenomas and 1 carcinoma arising from ectopic axillary breast tissue confirmed by histopathology.

Results

The sonographic appearance of the five masses was homogeneous and hypoechoic. Four fibroadenomas arising from ectopic axillary breast tissue were oval-shaped, well-defined masses with mild or moderate vascularity on sonograms. One carcinoma arising from ectopic axillary breast tissue was an irregular, ill-defined mass with abundant vascularity. Ultrasonography showed that the breast-like tissue surrounded 3 fibroadenoma. This feature was not founded in 1 fibroadenoma and 1 carcinoma.

Conclusion

The breast-like tissue surrounding axillary mass and typical symptom are useful to the diagnosis of tumor developed in ectopic breast tissue.

Key words: Ectopic breast, Neoplasms, Ultrasonography
图1，2 左腋下副乳纤维腺瘤超声声像图。左腋窝见椭圆形低回声结节（白色箭头所示），边界清楚，结节周围见类乳腺腺体样回声（红色箭头所示）（图1），结节内血流信号较丰富（图2）
图3~5 左腋下副乳癌超声声像图（图3，4）及钼靶图（图5）。左腋窝见形态不规则低回声结节（白色箭头所示），其深部见多个肿大淋巴结（红色箭头所示）（图3）。结节内血流信号极丰富（图4）。超声诊断为副乳癌伴淋巴结转移。钼靶显示左腋下不规则片状高密度影（白色箭头所示），边界不清，其下方可见多发淋巴结影，诊断为副乳癌伴淋巴结转移（图5）
[1]
Down S, Barr L, Baildam AD, et al. Management of accessory breast tissue in the axilla [J]. Br J Surg, 2003, 90(10): 1213-1214.
[2]
Gilmore HT, Milroy M, Mello BJ. Supernumerary nipples and accessory breast tissue [J]. S D J Med, 1996, 49(5): 149-151.
[3]
DeFilippis EM, Arleo EK. The ABCs of accessory breast tissue: basic information every radiologist should know [J]. AJR Am J Roentgenol, 2014, 202(5): 1157-1162.
[4]
Patel BK, Jafarian N, Abbott AM, et al. Imaging Findings and Management of Primary Breast Cancer in Accessory Axillary Breast Tissue [J]. Clin Breast Cancer, 2015, 15(4): e223-e229.
[5]
Francone E, Nathan MJ, Murelli F, et al. Ectopic breast cancer: case report and review of the literature [J]. Aesthetic Plast Surg, 2013, 37(4): 746-749.
[6]
Jordan K, Laumann A, Conrad S, et al. Axillary mass in a 20-year-old woman [J]. Arch Dermatol, 2001, 137(10): 1367-1372.
[7]
Adler DD, Rebner M, Pennes DR. Accessory breast tissue in the axilla: mammographic appearance [J]. Radiology, 1987, 163(3): 709-711.
[8]
Bertschinger K, Caduff R, Kubik-Huch RA. Benign intramammary and axillary lesions mimicking malignancy [J]. Eur Radiol, 2000, 10(6): 1029-1030.
[9]
Kogut M, Bidier M, Enk A, et al. Axillary accessory breast tissue--case report and review of literature [J]. J Dtsch Dermatol Ges, 2014, 12(6): 499-500.
[10]
Kajava Y. The proportions of supernumerary nipples in the Finnish population [J]. Duodecim, 1915, 1: 143-170.
[11]
Oshida K, Miyauchi M, Yamamoto N, et al. Phyllodes tumor arising in ectopic breast tissue of the axilla [J]. Breast Cancer, 2003, 10(1): 82-84.
[12]
Val-Bernal JF, Gonzalez-Vela MC, De Grado M, et al. Sclerotic fibroma (storiform collagenoma)-like stroma in a fibroadenoma of axillary accessory breast tissue [J]. J Cutan Pathol, 2012, 39(8): 798-802.
[13]
Dzodic R, Stanojevic B, Saenko V, et al. Intraductal papilloma of ectopic breast tissue in axillary lymph node of a patient with a previous intraductal papilloma of ipsilateral breast: a case report and review of the literature [J]. Diagn Pathol, 2010, 5(1): 17.
[14]
Grossl NA. Supernumerary breast tissue: historical perspectives and clinical features [J]. South Med J, 2000, 93(1): 29-32.
[15]
Burdick AE, Thomas KA, Welsh E, et al. Axillary polymastia [J]. J Am Acad Dermatol, 2003, 49(6): 1154-1156.
[16]
Yin C, Chapman J, Tawfik O. Invasive mucinous (colloid) adenocarcinoma of ectopic breast tissue in the vulva: a case report [J]. Breast J, 2003, 9(2): 113-115.
[17]
Devine C, Courtney CA, Deb R, et al. Invasive lobular carcinoma arising in accessory breast tissue [J]. World J Surg Oncol, 2013, 11: 47.
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