Original article | Volume 34, Article 36, 17 Sep 2019 | 10.11604/pamj.2019.34.36.17762

Supernumerary nipple in a young woman

Salma Salim, Badreddine Hassam

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

Received: 23 Nov 2018 - Accepted: 05 Dec 2018 - Published: 17 Sep 2019

Domain: Dermatology

Keywords: Supernumerary nipple, milk line, associated malformations and neoplasms

©Salma Salim et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Salma Salim et al. Supernumerary nipple in a young woman. Pan African Medical Journal. 2019;34:36. [doi: 10.11604/pamj.2019.34.36.17762]

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

Home | Volume 34 | Article number 36

Original article

Supernumerary nipple in a young woman

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

 

 

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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.

 

 

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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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Supernumerary nipple in a young woman

Original article

Supernumerary nipple in a young woman

Original article

Supernumerary nipple in a young woman