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Accessory breast
Classification and external resources
ICD-10 Q83.1
ICD-9 757.6
OMIM 163700
eMedicine derm/735

Accessory breasts, also known as polymastia, supernumerary breasts, or mammae erraticae, is the condition of having an additional breast. Extra breasts may appear with or without nipples or areolae.

A related condition, in which extra nipples form, is called "supernumerary nipple" or "polythelia".

Contents

[edit] Causes

Polymastia results from the eruption of extra breasts, usually along the milk line that extends from axillae to groin. While the location of this tissue is established during embryonic development, it may not become apparent or troublesome until puberty or lactation.[1] In extremely rare cases, extra breasts may appear ectopically on the neck, face, upper arm, shoulder, back, buttock, hip,[2] vulva, perineum,[3] thigh,[4] or even foot.[5]

Polymastia is often associated with other anatomical variations.[6]

[edit] Presentation

In some cases, the accessory breast may not be visible at the surface. In these cases, it may be possible to distinguish their appearance from normal breast tissue with MRI.[7] In other cases, accessory breasts have been known to lactate, as illustrated in a woodcut showing a child nursing at ectopic breast tissue on the lateral thigh[8].

There is some evidence that the condition may be more common in a Native American population.[9]

[edit] Notable examples

Anne Boleyn, second wife to Henry VIII of England, and mother of Elizabeth I, may have had a third nipple or even a third breast.[1][10] (This may well have been a slanderous rumour, as in Tudor times these "malformations" were considered to be a sign of the owner being a witch. The circumstances of her marriage to the king, who had divorced his first wife, made her a controversial figure.)

Thérèse Ventre of Marseille, France, had a functional extra breast on the outside of her left thigh.[2] Her case was studied by French scientists in 1827.

[edit] Mythology

In mythology, attributes are exaggerated or multiplied to emphasize their efficacy. For example, Priapus has been depicted with an oversized penis, and Artemis of Ephesus has been portrayed as having tier upon tier of what may be breasts, as tradition has it, or sacrificed bull testes, as some newer scholars claim. Priapus' gigantic phallus underscores his virility and his fertility, while Artemis' tiers of breasts, if so they are, would highlight her ability to nurture.

In Hindu Mythology, the goddess Meenakshi of Madurai was born with three breasts. According to a prophesy, She would lose her third breast on meeting the man of her dreams, which happens to be Lord Sundareswara, an incarnation of Lord Shiva.

[edit] References

  1. ^ a b Grossl NA (January 2000). "Supernumerary breast tissue: historical perspectives and clinical features". South. Med. J. 93 (1): 29–32. PMID 10653061. http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=0038-4348&volume=93&issue=1&spage=29. 
  2. ^ a b [1]
  3. ^ Basu S, Bag T, Saha KS, Biswas PC (2003). "Accessory breast in the perineum". Trop Doct 33 (4): 245. PMID 14620435. 
  4. ^ Camisa C (November 1980). "Accessory breast on the posterior thigh of a man". J. Am. Acad. Dermatol. 3 (5): 467–9. PMID 7217376. 
  5. ^ Conde, Délio Marques; Eiji Kashimoto, Renato Zocchio Torresan, Marcelo Alvarenga (2006). "Pseudomamma on the foot: An unusual presentation of supernumerary breast tissue". Dermatology Online Journal 12 (4): 7. PMID 17083862. http://dermatology.cdlib.org/124/case_presentations/pseudomamma/conde.html. 
  6. ^ Aughsteen AA, Almasad JK, Al-Muhtaseb MH (2000). "Fibroadenoma of the supernumerary breast of the axilla". Saudi Med J 21 (6): 587–9. PMID 11500714. 
  7. ^ Laor T, Collins MH, Emery KH, Donnelly LF, Bove KE, Ballard ET (2004). "MRI appearance of accessory breast tissue: a diagnostic consideration for an axillary mass in a peripubertal or pubertal girl". AJR Am J Roentgenol 183 (6): 1779–81. PMID 15547228. 
  8. ^ "Supernumerary Breast Tissue". Southern Medical Journal. http://www.medscape.com/viewarticle/410464_3. Retrieved Dec. 30, 2008. 
  9. ^ Emsen IM (2006). "Treatment with ultrasound-assisted liposuction of accessory axillary breast tissues". Aesthetic Plast Surg 30 (2): 251–2. doi:10.1007/s00266-005-0160-7. PMID 16547633. 
  10. ^ "The Straight Dope: Did Anne Boleyn, wife of Henry VIII, have a sixth finger and a third breast?". http://www.straightdope.com/classics/a3_053.html. Retrieved 2007-12-03. 

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