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Ectopic breast cancer: A case report
Safa Önel1, Faruk Karateke1, Adnan Kuvvetli1
1Department of General Surgery, Adana Numune Teaching Hospital, Adana, Turkey.
Ulusal Cerrahi Dergisi
|May 2, 2015
Summary
Ectopic breast cancer, a rare condition occurring outside the normal chest area, was diagnosed in a patient presenting with an enlarging mass. The patient successfully underwent treatment and shows no signs of recurrence.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Ectopic breast tissue can develop anywhere along the embryonic milk line, from the axilla to the vulva.
- While benign conditions like cysts and adenofibromas are common in ectopic breasts, malignant neoplasms are rare.
Observation:
- A patient presented with a palpable thickening and enlargement of ectopic breast tissue located on the left arcus costarium.
- Imaging and subsequent Tru-cut biopsy confirmed the presence of invasive lobular carcinoma.
Findings:
- The patient underwent left ectopic mastectomy and level I-II axillary dissection.
- Adjuvant treatment included chemotherapy, radiotherapy, and endocrine therapy.
Implications:
- This case highlights the importance of considering ectopic breast tissue in the differential diagnosis of unexplained masses in unusual locations.
- Despite an R1 resection margin, the patient remains disease-free during follow-up, suggesting the effectiveness of multimodal treatment for ectopic breast cancer.

