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J Coll Physicians Surg Pak. 2009 Jan;19(1):57-8. doi: 01.2009/JCPSP.5758.

Simultaneous duct ectasia of accessory and normally located breast.

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  • 1Department of Surgery, Unit V, Civil Hospital, Dow University of Health Sciences, Karachi. drshahishakeel@yahoo.com


Accessory breast and duct ectasia are common clinical problems in their own right. However, their coexistence is a rare entity. Duct ectasia is a dilation in one or more of the larger lactiferous duct filled with a stagnant brown or green secretion, which may or may not discharge through the nipple. This material acts as an irritant and leads to periductal mastitis. Duct ectasia may present with subareolar mass, nipple discharge, nipple retraction, non-cyclical mastalgia or mammary fistula. Surgical options are microdochectomy or cone excision of major ducts. This case report describes the presence of duct ectasia in both accessory breast situated in the axilla and ipsilateral normal breast simultaneously.

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