Clinicopathological analysis of 37 cases of accessory breast cancer

Objective To explore the clinicopathological characteristics, diagnosis, treatment and prognosis of accessory breast cancer. Methods Clinical and pathological data of 37 accessory breast cancer patients from Dec 2005 to Aug 2017 were reviewed. Results 12 patients underwent breast-conserving local wide excision plus axillary lymph node dissection. 5 cases were treated by segmental resection and 19 patients by Auchincloss or Halsted mastectomy; One patient abandoned surgery. The most common histological type of accessory breast cancer was infiltrating ductal carcinoma (26 cases, 70.3%) followed by adenocarcinoma (4 cases) and miscellaneous type (7 cases). The most common AJCC pathological stages were stage Ⅱ(n=24, 65%), Ⅰ (n=8), Ⅲ (n=3) and Ⅳ (n=2). The median follow-up time was 6 (1-12) years, the followup rate was 100%.Until Dec 2017, 7 patients died from metastasis and the others were alive. Conclusions Accessory breast cancer is rare and with poor prognosis. The diagnosis depends on clinical manifestations, imaging and pathology.Surgery is the mainstay therapy, adjuvant chemo therapy is recommanded. Key words: Breast neoplasms; Diagnosis; Combined therapy; Prognosis