Ectopic breast tissues may be affected by to the same physiological and pathological alterations seen in the normal breast, including fi broadenoma. We report a 30-year-old nulliparous woman who presented with a left axillary lump, for which clinical impression of axillary lymphadenopathy was made. She was receiving treatment with cabergoline due to a prolactinoma with galactorrhea for some years, but her serum prolactin levels were still high. The patient underwent surgical resection of the nodule and the histology was identical to the fi broadenomas seen in the breast. To the best of our knowledge, this is the fi rst report of fi broadenoma of the axilla in a patient with a macroprolactinoma. fi broadenoma in an ectopic breast tissue must be kept in mind in the differential diagnosis of axillary mass.