Dorsal ectopic breast in a case of spinal dysraphism: A rare entity

Gupta, Vipin Kumar; Kapoor, Isha; Punia, Rajpal Singh; Attri, Ashok Kumar

doi:10.4103/0028-3886.158220

Cited by 3 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The association of dorsal accessory breast with meningomyelocele and diastematomyelia has been reported only once in the world literature, however, the association of dorsal accessory breast with polythelia with lipomeningomyelocele and diastematomyelia has never been reported. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

Dorsal accessory ectopic breast with polythelia – A marker of occult spinal dysraphism

Gandhoke¹,

Syal²,

Singh³

et al. 2018

Surg Neurol Int

View full text Add to dashboard Cite

Background:Accessory breast, also known as supernumerary breasts, polymastia, or mammae erraticae, is a clinical condition of having an additional breast. Accessory breasts are usually seen along the embryonic milk line, with the majority located in the axilla. Polythelia is the presence of an additional nipple. We report a rare case of dorsal accessory ectopic breast with three nipples (two well formed and one rudimentary) occurring along with lipomeningomyelocele and diastematomyelia.Case Description:We report the case of an 18-year-old female who presented with chief complaints of swelling over the upper back since birth and spastic weakness of bilateral lower limbs with inability to walk since 2 years. Three-dimensional computed tomography scan of the dorsal spine was suggestive of a wide bony defect in the posterior spinal elements from D3 to D9 vertebrae. Diastematomyelia was also seen. Magnetic resonance imaging of the dorsal spine was suggestive of a complex spinal dysraphism with lipomeningomyelocele and diastematomyelia. During surgery, the patient's accessory breast was removed, lipomatous tissue and bony septum were excised, and dural repair was done. Histopathological examination was consistent with accessory ectopic breast with lipomeningomyelocele.Conclusion:Dorsal accessory breast, although a rare entity, whenever present should alert the clinician regarding the possibility of an underlying occult spinal dysraphism (OSD). Therefore, dorsal accessory breast can also be considered as a marker of OSD.

show abstract

Section: Introductionmentioning

confidence: 99%

Dorsal accessory ectopic breast with polythelia – A marker of occult spinal dysraphism

Gandhoke¹,

Syal²,

Singh³

et al. 2018

Surg Neurol Int

View full text Add to dashboard Cite

show abstract

Dorsal ectopic breast—a cutaneous marker of occult spinal dysraphism

Ismail,

Thet,

Khan

et al. 2024

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Ectopic breasts represent uncommon medical anomalies characterized by the presence of additional breasts situated outside the typical milk line. In this case report, we present a case encompassing dorsal ectopic breasts accompanied by three nipples. A 14-year-old teen girl presented with a significant dorsal mass, exhibiting no clinical manifestations except mild pain and a sense of heaviness. She underwent investigations, and a magnetic resonance imaging scan revealed a large, inadequately encapsulated congenital mass with a fatty composition, alongside intraspinal epidural engagement and a bony structure bridging the spinous processes from the C6 to the T3 vertebral bodies. She subsequently underwent excision of the entire mass. The histopathological analysis identified the presence of a mammary hamartoma. Follow-up at 2 weeks postoperatively showed that there were no further complications. Dorsal ectopic breast necessitates careful and comprehensive evaluation to either confirm or exclude the presence of occult spinal dysraphism prior to intervention to avoid complications.

show abstract

Spinal Dysraphism Presented as Lumbar Ectopic Breast: A Rare Case

Lohia

Bairwa

Mehrotra

et al. 2021

ijsr

View full text Add to dashboard Cite

Ectopic breast is a congenital disorder where abnormal additional breast tissue is found. Synonyms are known as supplementary breast polymastia and mammae erraticae. It is a embryological disorder and can present anywhere along the milk line with majority are located in axilla. Presence of additional nipple is known as polythelia. Spinal dysraphism is a congenital disorder where incomplete fusion of mesenchymal tissue bone or neural element of spine. We report a case of spina bida L2-S1 with tethered cord with additional breast with two nipples in a 12 year old girl .Patient does not have symptoms except accessory breast. This is a very rare presentation of spinal dysraphism and this third reported case of literature as per our knowledge.

show abstract

Dorsal ectopic breast in a case of spinal dysraphism: A rare entity

Cited by 3 publications

References 9 publications

Dorsal accessory ectopic breast with polythelia – A marker of occult spinal dysraphism

Dorsal accessory ectopic breast with polythelia – A marker of occult spinal dysraphism

Dorsal ectopic breast—a cutaneous marker of occult spinal dysraphism

Spinal Dysraphism Presented as Lumbar Ectopic Breast: A Rare Case

Contact Info

Product

Resources

About