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Intraductal papilloma of ectopic breast tissue in axillary lymph node of a patient with a previous intraductal papilloma of ipsilateral breast: a case report and review of the literature

Radan Dzodic1, Boban Stanojevic12*, Vladimir Saenko3, Masahiro Nakashima4, Ivan Markovic1, Gordana Pupic1, Marko Buta1, Momcilo Inic1, Tatiana Rogounovitch2 and Shunichi Yamashita23

Author Affiliations

1 Institute for Oncology and Radiology of Serbia, 14 Pasterova, Belgrade 11000, Serbia

2 Department of Molecular Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan

3 Department of International Health and Radiation Research, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan

4 Tissue and Histopathology Section, Division of Scientific Data Registry, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan

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Diagnostic Pathology 2010, 5:17  doi:10.1186/1746-1596-5-17

Published: 12 March 2010

Abstract

The presence of ectopic breast tissue in axillary lymph nodes (ALN) is a benign condition that must be differentiated from primary or metastatic carcinoma. Here we report a patient who underwent excision of enlarged ALN 10 years after she had received surgical treatment of ipsilateral breast for an intracystic intraductal papilloma (IDP). Histological examination of the removed ALN revealed that the proliferative lesion consisted of papillary and tubular structures lined by luminal cuboidal cells and a distinct outer layer of myoepithelial cells resembling IDP of the breast. Immunostaining with a set of immunohistochemical markers including AE/AE3, alpha-smooth muscle actin and p63 in combination with estrogen and progesterone receptors confirmed the diagnosis of ectopic IDP.

This case shows that even though benign proliferative change in ectopic breast tissue is an extremely rare phenomenon, this possibility should be taken into account for correct diagnosis.