title: Anatomic and clinical rationale of the V-sign to detect accessory axillary breast tissue.
abstract: The potential for breast cancer to present with lymphatic metastases, has instilled anxiety when women present with axillary masses. We discuss a simple and reliable clinical sign that can help clinicians to distinguish between axillary nodal metastases and accessory axillary breast tissue. Awareness and recognition of the "V-sign" can allay anxiety in women with accessary axillary breast tissue and prevent costly investigations in most cases.
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago, West Indies.
authors.forename: Vijay
authors.initials: V
authors.lastname: Naraynsingh
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago, West Indies.
authors.forename: Shamir O
authors.initials: SO
authors.lastname: Cawich
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago, West Indies.
authors.forename: Ravi
authors.initials: R
authors.lastname: Maharaj
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago, West Indies.
authors.forename: Dilip
authors.initials: D
authors.lastname: Dan
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago, West Indies.
authors.forename: Dale
authors.initials: D
authors.lastname: Hassranah
keywords: axilla; axillary nodal metastases; cancer; lymphadenopathy; skin-folding