Tumor Mammae Aberrans Dextra pada Wanita Usia 16 Tahun
DOI:
https://doi.org/10.55606/jurrike.v5i1.8485Keywords:
Accessory Breast Tissue, Axillary Mass, FNAB, Histopathology, Mammae AberransAbstract
Mammae aberrans in the axilla is a developmental abnormality caused by the persistence of breast tissue along the milk line and can cause fluctuating axillary masses due to hormonal stimulation, with a reported prevalence of approximately 0.4–6%. Methods: This article is presented as a descriptive case report based on data from the Department of Surgery at Cut Meutia Regional General Hospital, North Aceh, including medical history, physical examination, routine blood tests, fine needle aspiration biopsy (FNAB), excision, histopathological examination, and follow-up. Results: A 16-year-old female patient complained of a lump in her right axilla for approximately two years, which had enlarged in the last month and caused severe pain before menstruation. Examination revealed a mass measuring approximately 3×3×2 cm, without lymph node enlargement, and normal routine blood tests. Two FNAB punctures showed fat droplets/matrix without epithelial proliferation or malignant cells (benign smear) with the impression of aberrant mammary glands. The patient underwent mass excision; histopathology showed mature fatty tissue and fibrocollagen accompanied by ductular proliferation without signs of malignancy, and at the 1-week follow-up, the pain had disappeared and the lump was no longer visible. Discussion: The cyclic pain pattern associated with menstruation is an important clue for distinguishing aberrant mammary glands from differential diagnoses of axillary masses in adolescents, while excision provides diagnostic certainty and symptom improvement. Conclusion: Mammae aberrans should be considered in adolescents with axillary masses affected by the menstrual cycle, and excision is recommended in symptomatic cases for histopathological confirmation and resolution of complaints.
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Araco, A., Gravante, G., Gentile, P., Araco, F., Delogu, D., & Cervelli, V. (2006). Accessory axillary breast tissues. Aesthetic Plastic Surgery, 30(6), 727-728. https://doi.org/10.1007/s00266-006-0117-5
Arora, B., Arora, R., & Aora, A. (2016). Axillary accessory breast: Presentation and treatment. International Surgery Journal, 2050-2053. https://doi.org/10.18203/2349-2902.isj20163571
Bhave Khair, M. A. (2016). Axillary breast: Contouring the axilla. In Body Contouring and Sculpting. InTech. https://doi.org/10.5772/64683
Chauhan, N. (2024). Accessory axillary breast management: Is primary skin excision necessary? Indian Journal of Plastic Surgery, 57(06), 492-495. https://doi.org/10.1055/s-0044-1788896
De la Torre, M., Lorca-García, C., de Tomás, E., & Berenguer, B. (2022). Axillary ectopic breast tissue in the adolescent. Pediatric Surgery International, 38(10), 1445-1451. https://doi.org/10.1007/s00383-022-05184-1
DeFilippis, E. M., & Arleo, E. K. (2014). The ABCs of accessory breast tissue: Basic information every radiologist should know. American Journal of Roentgenology, 202(5), 1157-1162. https://doi.org/10.2214/AJR.13.10930
Ehiagwina, L. A., Tagar, E., Kpolugbo, J., & Oigbochie, O. E. (2025). Axillary breast: Our limited experience of surgical excision. Journal of Surgical Case Reports, 2025(7). https://doi.org/10.1093/jscr/rjaf536
Field, A. S., Raymond, W. A., Rickard, M., & Schmitt, F. (2020). Breast fine needle aspiration biopsy cytology: The potential impact of the International Academy of Cytology Yokohama System for Reporting Breast Fine Needle Aspiration Biopsy Cytopathology and the use of rapid on-site evaluation. Journal of the American Society of Cytopathology, 9(2), 103-111. https://doi.org/10.1016/j.jasc.2019.10.004
Gomes Pinto, D., & Schmitt, F. C. (2024). Overcoming pitfalls in breast fine-needle aspiration cytology: A practical review. Acta Cytologica, 68(3), 206-218. https://doi.org/10.1159/000539692
Le-Petross, H. T., Slanetz, P. J., Lewin, A. A., Bao, J., Dibble, E. H., Golshan, M., Hayward, J. H., Kubicky, C. D., Leitch, A. M., Newell, M. S., Prifti, C., Sanford, M. F., Scheel, J. R., Sharpe, R. E., Weinstein, S. P., & Moy, L. (2022). ACR appropriateness criteria® imaging of the axilla. Journal of the American College of Radiology, 19(5), S87-S113. https://doi.org/10.1016/j.jacr.2022.02.010
Lewis, J., Mutindori, C., Beohon, B., Gantt, B., Hammett, N., Henry, A., Kitchens, A., Burros, C., & Ibidapo-Obe, O. (2025). Beyond the normal breast anatomy: A case of benign bilateral accessory breasts. SAGE Open Medical Case Reports, 13. https://doi.org/10.1177/2050313X251357051
Öztaş, T., Dursun, A., & Asena, M. (2022). Bilateral axillary accessory breast tissue: A case report. Pediatric Academic Case Reports, 1(1), 29-31. https://doi.org/10.61107/pacr.2022.030
Patel, P. P., Ibrahim, A. M. S., Zhang, J., Nguyen, J. T., Lin, S. J., & Lee, B. T. (2012). Interesting case series accessory breast tissue.
Rafaralahivoavy Tojo, R., Rakotonirina, M., Rajaonarison, N., Sala, E., Akbaraly, C., Ranoharison Dina, H., & Ahmad, A. (2023). Breast accessory tissue: Essential insights into clinical presentation and radiological features on mammography and ultrasound. International Journal of Radiology and Imaging Technology, 9(2). https://doi.org/10.23937/2572-3235.1510117
Val-Bernal, J. F., Celeiro-Muñoz, C., Linares, E., Gallardo, E., & García-Somacarrera, E. (2018). Aberrant axillary breast tissue with pseudoangiomatous stromal hyperplasia in a man. ČESKO-SLOVENSKÁ PATOLOGIE, 54(3), 134-146.
Yuliani, A. A. A., & Pretangga, A. A. N. (2025). Accessory breast tissue (Mammae Aberrans) presenting as an axillary mass: A case report. Malahayati International Journal of Nursing and Health Science, 8(9), 1224-1230. https://doi.org/10.33024/minh.v8i9.1484
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