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Case Report
Infiltrating tubular-papillary carcinoma of supernumerary left breast: A case report
1 Department of Obstetrics and Gynecology, Thiès Regional Hospital, The University of Thiès, Faculty of Health Sciences, Ex l0ème RIAOM, IBP: 9, Senegal
2 Department of Obstetrics and Gynecology, The University of Ziguinchor, Senegal
3 Anesthesial and Resuscitation, Thiès Barthimé hospital, Senegal
Address correspondence to:
Mariétou Thiam
Department of Obstetrics and Gynecology, Thiès Regional Hospital, The University of Thiès, Faculty of Health Sciences, Ex l0ème RIAOM, IBP: 967 Thiès,
Senegal
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Article ID: 100047Z08LG2019
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How to cite this article
Gueye L, Thiam M, Gueye SM, Phiri A, Ndiaye MM, Mahamat S, Diop AP, Cisse ML. Infiltrating tubular-papillary carcinoma of supernumerary left breast: A case report. J Case Rep Images Obstet Gynecol 2019;5:100047Z08LG2019.ABSTRACT
Introduction: Supernumerary breast cancer is a rare phenomenon and diagnosis is delayed due to late consultation.
Case Report: A 58-year-old diabetic patient, agrand multiparas with history of exclusive breastfeeding. Examination on first consultation showed an ulcero-necrotic mass of the left axillar fistulized to the skin. Mammography concluded that the axillary polylobed, hypo-echogenic tissue formation was quite limited at 9 cm in the long axis containing cystic and necrotic sections. Otherwise, the breasts were normal-looking. Biopsy of the mass was in favor of tubulopapillary adenocarcinoma. The thoracic-abdominal computed tomography showed left tissue involvement, with most likely homolateral axillary ganglionic invasion. We administered six Adriamycin cyclophosphamide type neo-adjuvant chemotherapy treatment followed mastectomy of the supernumerary breast associated with a left lymph node curage. Histology of the operative piece conclusion was infiltrating tubulo-papillary adenocarcinoma Scarff-Bloom and Richardson II (SBR II) with the presence of tumor emboli. Resection margins were not invaded. 1/8 of the lymph nodes were invaded by malignant proliferation.
Conclusion: This case describes a rare diagnosis of tubularpapillary carcinoma on an ectopic breast of the axillary extension treated with neoadjuvant chemotherapy and a mastectomy of the supernumerary breast. As with breast cancers in our context, diagnosis is often made when the tumor is at an advanced stage making treatment more cumbersome and mutilating with lower chances of recovery.
Keywords: Cancer, Ectopic breast, Treatment
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Author Contributions
Lamine Gueye - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mariétou Thiam - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Serigne Modoukane Gueye - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Adamson Phiri - Drafting the article, Final approval of the version to be published
Mor Malick Ndiaye - Acquisition of data, Drafting the article, Final approval of the version to be published
Souleymane Mahamat - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Alioune PierreDiop - Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Mamadou Lamine Cisse - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Lamine Gueye et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
