Journal of Gynecology and Obstetrics

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Breast Plasty by Selective Mastectomy on Thoracic Supernumerary Breast: A Case Report

Received: 21 October 2018    Accepted: 03 December 2018    Published: 27 May 2019
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Abstract

Background: Supernumerary breasts result from the persistence of ectopic mammary buds on the path of the primary mammary crest. The thoracic location with presence of glandular tissue remains exceptional. In its management, the surgeon is confronted not only with the aesthetic concern but also with the problem of surveillance given the risk of neoplastic degeneration due to the persistence of the supernumerary breast. It is then a question of determining the moment of the surgery and especially the appropriate operative technique. Presentation of the case: A 14-year-old girl was received for aesthetic gene linked to the presence of two nipples on her left breast. The physical examination revealed an asymmetry of left and right breasts volume. The left breast was classified as class I mammary glands according to KAJAVA classification. The mammogram described two mammary glands juxtaposed 180 and 80cm³ respectively. After performing the preoperative schema, the surgical procedure consisted of a selective mastectomy by complete excision of the lower mammary gland of 80 cm³ with remodeling by sub-mammary detachment over 2 cm of the remaining gland. The postoperative course was simple. Conclusion: Selective mastectomy for thoracic supernumerary breast is a technique of easy realization. The surgeon must find his anatomy to properly choose the preoperative schema. The postoperative result in our case was satisfactory.

DOI 10.11648/j.jgo.20190703.12
Published in Journal of Gynecology and Obstetrics (Volume 7, Issue 3, May 2019)
Page(s) 68-71
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Breastplasty, Selective Mastectomy, Supernumerary Breast

References
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[2] Guèye M., Guèye S., Rault S., Ronzino V., Gharbi M., Renard C. Cancer du sein sur la cicatrice d’exérèse d’un tissu mammaire ectopique: à propos d’un cas. Gynécologie Obstétrique & Fertilité Volume 39, Issue 3, March 2011; 55-57.
[3] Singal R, Mehta SK, Bala J, Zaman M., Mihal A. Gupta G et al. A study of evaluation and management of rare congenital breast disease. Journal of clinical and disease research. 2016; 10 (10): 18-24.
[4] El Bouzidi M, El Cadi M, Zoubairi I, Benabdallah K, Brahmi R, Rhrab B. Cancer bifocal du sein sur sein droit et sur sein axillaire surnuméraire homolatéral. À propos d’une observation. mt Médecine de la Reproduction, Gynécologie Endocrinologie. 2013; 15 (3): 273-8.
[5] Priti P. Patel, Ahmed M. S. Ibrahim, Jacob Zhang, John T. Nguyen, Samuel J. Lin, Bernard T. Lee, Accessory Breast Tissue. Eplasty. 2012; 12: ic5.
[6] Shreshta S. Supernumerary Breast on the back: a case report. Indian J Surg. 2016; 78 (2): 155-57.
[7] Fama F, Cicciu M, Sindoni A, Scarfo P, Pollicino A, Giacobbe G et al. Prevalence of ectopic breast tissue and tumor: A 20 year single center experience. Clin Breast Cancer. 2016; 16 (4): 107-12.
[8] Baruchin A. M., Rosenberg L. Axillary breast tissue: clinical presentation and surgical treatement. Ann. Plast. Surg. 1996; 36 (6): 661-662.
[9] Lesavoy M. A., Gomez-Garcia A., Nedl R., Yospur G., Syiau T. J., Chang. Axillary breast tissue: clinical presentation and surgical treatement. Ann. Plast. Surg. 1995; 35 (4): 356-360.
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Author Information
  • Departement of Gynecology and Obstetrics Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon; Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Yaounde, Cameroon

  • Departement of Gynecology and Obstetrics Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon; Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Yaounde, Cameroon

  • Departement of Gynecology and Obstetrics Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon

  • Departement of Gynecology and Obstetrics Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon; Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Yaounde, Cameroon

  • Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Yaounde, Cameroon

  • Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Yaounde, Cameroon

  • Departement of Gynecology and Obstetrics Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon; Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Yaounde, Cameroon

  • Departement of Gynecology and Obstetrics Faculty of Medicine and Biomedical Science, University of Yaounde I, Yaounde, Cameroon; Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital, Yaounde, Cameroon

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    Noa Ndoua Claude Cyrille, Belinga Etienne, Ofakem Ilick Ingrid Doriane, Metogo Junie, Kasia Onana Yves Bertrand, et al. (2019). Breast Plasty by Selective Mastectomy on Thoracic Supernumerary Breast: A Case Report. Journal of Gynecology and Obstetrics, 7(3), 68-71. https://doi.org/10.11648/j.jgo.20190703.12

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    ACS Style

    Noa Ndoua Claude Cyrille; Belinga Etienne; Ofakem Ilick Ingrid Doriane; Metogo Junie; Kasia Onana Yves Bertrand, et al. Breast Plasty by Selective Mastectomy on Thoracic Supernumerary Breast: A Case Report. J. Gynecol. Obstet. 2019, 7(3), 68-71. doi: 10.11648/j.jgo.20190703.12

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    AMA Style

    Noa Ndoua Claude Cyrille, Belinga Etienne, Ofakem Ilick Ingrid Doriane, Metogo Junie, Kasia Onana Yves Bertrand, et al. Breast Plasty by Selective Mastectomy on Thoracic Supernumerary Breast: A Case Report. J Gynecol Obstet. 2019;7(3):68-71. doi: 10.11648/j.jgo.20190703.12

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  • @article{10.11648/j.jgo.20190703.12,
      author = {Noa Ndoua Claude Cyrille and Belinga Etienne and Ofakem Ilick Ingrid Doriane and Metogo Junie and Kasia Onana Yves Bertrand and Mendibi Sandrine and Kemfang Ngowa Jean-Dupont and Kasia Jean Marie},
      title = {Breast Plasty by Selective Mastectomy on Thoracic Supernumerary Breast: A Case Report},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {7},
      number = {3},
      pages = {68-71},
      doi = {10.11648/j.jgo.20190703.12},
      url = {https://doi.org/10.11648/j.jgo.20190703.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.jgo.20190703.12},
      abstract = {Background: Supernumerary breasts result from the persistence of ectopic mammary buds on the path of the primary mammary crest. The thoracic location with presence of glandular tissue remains exceptional. In its management, the surgeon is confronted not only with the aesthetic concern but also with the problem of surveillance given the risk of neoplastic degeneration due to the persistence of the supernumerary breast. It is then a question of determining the moment of the surgery and especially the appropriate operative technique. Presentation of the case: A 14-year-old girl was received for aesthetic gene linked to the presence of two nipples on her left breast. The physical examination revealed an asymmetry of left and right breasts volume. The left breast was classified as class I mammary glands according to KAJAVA classification. The mammogram described two mammary glands juxtaposed 180 and 80cm³ respectively. After performing the preoperative schema, the surgical procedure consisted of a selective mastectomy by complete excision of the lower mammary gland of 80 cm³ with remodeling by sub-mammary detachment over 2 cm of the remaining gland. The postoperative course was simple. Conclusion: Selective mastectomy for thoracic supernumerary breast is a technique of easy realization. The surgeon must find his anatomy to properly choose the preoperative schema. The postoperative result in our case was satisfactory.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Breast Plasty by Selective Mastectomy on Thoracic Supernumerary Breast: A Case Report
    AU  - Noa Ndoua Claude Cyrille
    AU  - Belinga Etienne
    AU  - Ofakem Ilick Ingrid Doriane
    AU  - Metogo Junie
    AU  - Kasia Onana Yves Bertrand
    AU  - Mendibi Sandrine
    AU  - Kemfang Ngowa Jean-Dupont
    AU  - Kasia Jean Marie
    Y1  - 2019/05/27
    PY  - 2019
    N1  - https://doi.org/10.11648/j.jgo.20190703.12
    DO  - 10.11648/j.jgo.20190703.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 68
    EP  - 71
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20190703.12
    AB  - Background: Supernumerary breasts result from the persistence of ectopic mammary buds on the path of the primary mammary crest. The thoracic location with presence of glandular tissue remains exceptional. In its management, the surgeon is confronted not only with the aesthetic concern but also with the problem of surveillance given the risk of neoplastic degeneration due to the persistence of the supernumerary breast. It is then a question of determining the moment of the surgery and especially the appropriate operative technique. Presentation of the case: A 14-year-old girl was received for aesthetic gene linked to the presence of two nipples on her left breast. The physical examination revealed an asymmetry of left and right breasts volume. The left breast was classified as class I mammary glands according to KAJAVA classification. The mammogram described two mammary glands juxtaposed 180 and 80cm³ respectively. After performing the preoperative schema, the surgical procedure consisted of a selective mastectomy by complete excision of the lower mammary gland of 80 cm³ with remodeling by sub-mammary detachment over 2 cm of the remaining gland. The postoperative course was simple. Conclusion: Selective mastectomy for thoracic supernumerary breast is a technique of easy realization. The surgeon must find his anatomy to properly choose the preoperative schema. The postoperative result in our case was satisfactory.
    VL  - 7
    IS  - 3
    ER  - 

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