title: Carcinoma in accessory axillary breast.
abstract: We present a rare case of carcinoma developing in an accessory breast. The patient presented with a progressive lump in her right axilla for 1 year. On examination, there was a well-developed nipple areola complex in the right axilla overlying a hard, fixed 5 × 3 cm lump. On investigation, core biopsy revealed poorly differentiated carcinoma of the breast. Mammography also revealed features of a malignant lesion with skin and muscle infiltration. Neoadjuvant chemotherapy was administered followed by modified radical mastectomy after three cycles. Immunohistochemistry study showed positive status of oestrogen and progesterone receptors, and negative HER-2 neu. Three more cycles of chemotherapy along with 50 Gy radiotherapy were given in an adjuvant setting followed by hormone therapy.
authors.affiliation: Department of General Surgery, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
authors.forename: Seema
authors.initials: S
authors.lastname: Khanna
authors.affiliation: Department of General Surgery, RIMS, Safai, Uttar Pradesh, India.
authors.forename: Shashi Prakash
authors.initials: SP
authors.lastname: Mishra
authors.affiliation: Department of General Surgery, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
authors.forename: Satendra
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Surgery, Institute of Medical Sciences, Varanasi, Uttar Pradesh, India.
authors.forename: Ajay Kumar
authors.initials: AK
authors.lastname: Khanna
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001365:Axilla / Q000473:pathology*; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000150:complications / Q000473:pathology* / Q000628:therapy; D002277:Carcinoma / Q000150:complications / Q000473:pathology* / Q000628:therapy; D017024:Chemotherapy, Adjuvant; D002828:Choristoma / Q000150:complications / Q000473:pathology*; D005260:Female; D006801:Humans; D015411:Mastectomy, Modified Radical; D020360:Neoadjuvant Therapy