Primary Axillary Tail Malignancy with Nodal Metastatic Disease: A Case Report

Girish D. Bakhshi

Department of General Surgery, Grant Government Medical College, and Sir JJ Group of Hospitals, India.

Sumit Boricha *

Department of General Surgery, Grant Government Medical College, and Sir JJ Group of Hospitals, India.

Amit Thombare

Department of General Surgery, Grant Government Medical College, and Sir JJ Group of Hospitals, India.

Chandrakant Sabale

Department of General Surgery, Grant Government Medical College, and Sir JJ Group of Hospitals, India.

Urvashi Jain

Department of General Surgery, Grant Government Medical College, and Sir JJ Group of Hospitals, India.

Soumi Das

Department of General Surgery, Grant Government Medical College, and Sir JJ Group of Hospitals, India.

Ramkishore

Department of General Surgery, Grant Government Medical College, and Sir JJ Group of Hospitals, India.

*Author to whom correspondence should be addressed.


Abstract

The axillary tail of Spence, usually variable in size is a narrow part of breast tissue near the anterior axillary fold which extends into the axilla via the opening in the clavipectoral fascia. The incidence of malignancy from this tissue is rarely reported in literature. Being in close proximity to axilla, lymph nodal involvement is seen early in the disease process. This may result in an axillary lump presentation with no lump in the breast. A high index of clinical suspicion in the absence of a breast lump creates a diagnostic dilemma. The aim of present case study is to describe the presentation and management of primary malignancy of the axillary tail of the breast.

Keywords: Primary axillary, axillary tail, breast lump


How to Cite

Bakhshi, Girish D., Sumit Boricha, Amit Thombare, Chandrakant Sabale, Urvashi Jain, Soumi Das, and Ramkishore. 2024. “Primary Axillary Tail Malignancy With Nodal Metastatic Disease: A Case Report”. Asian Journal of Case Reports in Surgery 7 (2):347-51. https://journalajcrs.com/index.php/AJCRS/article/view/548.


References

Ampil F, Caldito G, Henderson B, Li B, Kim RH, Burton G, Chu Q. Carcinoma of the axillary tail of Spence: A case series. Anticancer Res. 2012;32:4057-9. PMID: 22993360

Kalita P, Gupta A, Sengupta P, Bhattacharyya S, Mishra S, Dasgupta S. Carcinoma of the axillary tail of Spence: A rare case report. International Journal of Surgery Case Reports. 2024 Jan 1;114:109151.

Okubo M, Tada K, Niwa T, Nishioka K, Tsuji E, Ogawa T, Seto Y. 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. DOI: 10.1186/1477-7819-11-217. PMID: 24004816; PMCID: PMC3844328

Evans DM, Guyton DP. Carcinoma of the axillary breast. J Surg Oncol. 1995;59: 190-5. DOI: 10.1002/jso.2930590311. PMID: 7609527

Jerbi M, Hidar S, El Mouedded S, Jenna A, Kerbi S, Cheib A, Khairi H. Le cas Clinique du mois. Tuberculous ganglionaire axillaire une presentation inhabituelle [Tuberculous Axillary Lymphadenitis: An unusual presentation]. Rev Med Liege. 2007; 62:188-9. French. PMID:17566386.

Jayabal, Pandiaraja, Arumugam, Shalini. A case of isolated axillary tuberculous lymphadenitis. Nigerian Journal of Medicine 2020;29:723-25. DOI: 10.4103/NJM.NJM_162_20

Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: What it is and what it isn't. BMJ. 1996;312(7023):71-2. DOI: 10.1136/bmj.312.7023.71. PMID: 8555924; PMCID: PMC2349778