DOI QR코드

DOI QR Code

Carcinoma of the Axillary Tail of Spence: A Case Report with Imaging Findings

유방의 겨드랑꼬리에 발생한 악성 종양: 영상 소견을 포함한 증례 보고

  • So Yeun Park (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Ji Young Lee (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Ji Yeon Park (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine)
  • 박소연 (인제대학교 의과대학 일산백병원 영상의학과) ;
  • 이지영 (인제대학교 의과대학 일산백병원 영상의학과) ;
  • 박지연 (인제대학교 의과대학 일산백병원 영상의학과)
  • Received : 2021.11.26
  • Accepted : 2022.05.02
  • Published : 2022.09.01

Abstract

Carcinoma of the axillary tail of Spence is a rare type of breast cancer that develops at a specific anatomical position in the breast, with an incidence of approximately 0.3%. It should be differentiated from axillary soft tissue tumor, axillary ectopic breast cancer, and lymph node metastases of breast and other primary cancers. Here, we report a case of carcinoma of the axillary tail of Spence in a 47-year-old patient who visited our clinic with a lower axillary mass and was diagnosed based on mammography, US, CT, and MRI findings.

유방의 겨드랑꼬리에 발생한 악성 종양은 유방의 특정 해부학적 위치에서 발생하는 유방암의 한 종류이며 발생률은 0.3% 정도로 드문 질환이다. 이는 겨드랑이에서 발생하는 연부조직 종양, 액와부 부유방에서 발생한 유방암, 유방암의 림프절 전이 또는 다른 원발암의 림프절 전이 등과 감별이 필요하다. 저자들은 겨드랑이 종물을 주소로 내원한 47세 환자에서 유방촬영술, 초음파, 전산화단층촬영, 자기공명영상을 통해 겨드랑꼬리 유방암을 진단한 증례를 경험하여 보고하고자 한다.

Keywords

References

  1. Siotos C, McColl M, Psoter K, Gilmore RC, Sebai ME, Broderick KP, et al. Tumor site and breast cancer prognosis. Clin Breast Cancer 2018;18:e1045-e1052
  2. Okubo M, Tada K, Niwa T, Nishioka K, Tsuji E, Ogawa T, et al. A case of breast cancer in the axillary tail of Spence - enhanced magnetic resonance imaging and positron emission tomography for diagnostic differentiation and preoperative treatment decision. World J Surg Oncol 2013;11:217
  3. Gou ZC, Liu XY, Xiao Y, Zhao S, Jiang YZ, Shao ZM. Decreased survival in patients with carcinoma of axillary tail versus upper outer quadrant breast cancers: a SEER population-based study. Cancer Manag Res 2018;14:1133-1141
  4. Ampil F, Caldito G, Henderson B, Li B, Kim RH, Burton G, et al. Carcinoma of the axillary tail of Spence: a case series. Anticancer Res 2012;32:4057-4059
  5. DeFilippis EM, Arleo EK. The ABCs of accessory breast tissue: basic information every radiologist should know. AJR Am J Roentgenol 2014;202:1157-1162
  6. Adler DD, Rebner M, Pennes DR. Accessory breast tissue in the axilla: mammographic appearance. Radiology 1987;163:709-711
  7. Patrinos A, Zarokosta M, Tsiaoussis J, Noussios G, Piperos Τ, Zoulamoglou M, et al. The clavipectoral fascia as the unique anatomical criteria for distinguishing breast parenchymal lesions from axillary lymph node metastasis. J Surg Case Rep 2019;5:rjz135
  8. Memon S, Emanuel JC. The axillary tail--an important caveat in prophylactic mastectomy. Breast J 2008;14:313-314