Supernumerary nipple in a young woman
Salma Salim, Badreddine Hassam
The Pan African Medical Journal. 2019;34:36. doi:10.11604/pamj.2019.34.36.17762

PAMJ - Clinical Medicine PAMJ OH PAMJ OH PAMj OH
"Better health through knowledge sharing and information dissemination "

Images in medicine

Supernumerary nipple in a young woman

Cite this: The Pan African Medical Journal. 17/09/2019 ;34:36. doi:10.11604/pamj.17/09/2019 .34.36.17762

Received: 23/11/2018 - Accepted: 05/12/2018 - Published: 17/09/2019

Key words: Supernumerary nipple, milk line, associated malformations and neoplasms

© Salma Salim et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/34/36/full

Corresponding author: Salma Salim, Dermatology and Venereology Department, Ibn Sina University Hospital, Rabat, Morocco (salma-salim19@hotmail.fr)


Supernumerary nipple in a young woman

Salma Salim1,&, Badreddine Hassam1

 

1Dermatology and Venereology Department, Ibn Sina University Hospital, Rabat, Morocco

 

 

&Corresponding author
Salma Salim, Dermatology and Venereology Department, Ibn Sina University Hospital, Rabat, Morocco

 

 

Image in medicine    Down

We report the case of a 24 year old woman, without significant past medical history, who consulted for an asymptomatic and pigmented lesion of the breast evolving from infancy. Dermatological examination showed a brown plaque localized on the milk line in the underside of the right breast, measuring 1 cm, firm in consistency, with a non infiltrated base. Dermoscopic examination revealed a peripheral pigmented regular network with a cleft-like appearance in a pigmented homogeneous central area. The rest of clinical examination was normal. Based on the clinical and dermoscopic findings a diagnosis of supernumerary nipple was established. The patient refused the removal of the nipple since it was asymptomatic and without any aesthetic concern. Supernumerary nipples are congenital malformations of nipples that arise in addition to the normal bilateral nipples. Their prevalence is between 0.22% and 5.6%. They most commonly arise along the milk lines, which extend from axillae to inguinal region bilaterally. However, they may also appear in other regions of the body and may be associated with underlying breast tissue. Supernumerary nipples may be associated with other abnormalities of the central nervous, gastrointestinal, respiratory, skeletal or cardiovascular systems and sometimes genetic and chromosomal abnormalities. Nevertheless, the most known is the association with genitourinary tract malformations and malignancies. Given these morbid associations, some authors recommend their systematic search while others do not consider them. Supernumerary nipples do not require any specific treatment. However, surgical excision may be indicated for aesthetic reasons or in case of doubt diagnostic or complications.

 

 

Figure    Down

Figure 1: (A) clinical photo: brown plaque localized on the milk line in the underside of the right breast, measuring 1cm, firm in consistency and without any infiltration of the base; (B) dermoscopic photo: peripheral pigmented regular network with a cleft-like appearance in a pigmented homogeneous central area

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 35 (January - April 2020)

Article tools

PDF (334 Kb)
Contact the corresponding author
Download to Citation Manager
EndNote
Reference Manager
Zotero
BibTex
ProCite


This article authors

On Pubmed
On Google Scholar

Navigate this article

Keywords

Supernumerary nipple
Milk line
Associated malformations and neoplasms

Rate this article

Altmetric

PAMJ is a member of the Committee on Publication Ethics
PAMJ Authors services
Next abstract

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2020 - Pan African Medical Journal. All rights reserved