{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T02:51:30Z","timestamp":1781837490162,"version":"3.54.5"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Ectopic breasts represent uncommon medical anomalies characterized by the presence of additional breasts situated outside the typical milk line. In this case report, we present a case encompassing dorsal ectopic breasts accompanied by three nipples. A 14-year-old teen girl presented with a significant dorsal mass, exhibiting no clinical manifestations except mild pain and a sense of heaviness. She underwent investigations, and a magnetic resonance imaging scan revealed a large, inadequately encapsulated congenital mass with a fatty composition, alongside intraspinal epidural engagement and a bony structure bridging the spinous processes from the C6 to the T3 vertebral bodies. She subsequently underwent excision of the entire mass. The histopathological analysis identified the presence of a mammary hamartoma. Follow-up at 2 weeks postoperatively showed that there were no further complications. Dorsal ectopic breast necessitates careful and comprehensive evaluation to either confirm or exclude the presence of occult spinal dysraphism prior to intervention to avoid complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjae441","type":"journal-article","created":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T07:53:15Z","timestamp":1720252395000},"source":"Crossref","is-referenced-by-count":1,"title":["Dorsal ectopic breast\u2014a cutaneous marker of occult spinal dysraphism"],"prefix":"10.1093","volume":"2024","author":[{"given":"Muhammad","family":"Ismail","sequence":"first","affiliation":[{"name":"Department of Neurosurgery , Khalifa Gul Nawaz Hospital, , Bannu, Khyber Pakhtunkhwa 28100, Pakistan"},{"name":"Medical Teaching Institution , Khalifa Gul Nawaz Hospital, , Bannu, Khyber Pakhtunkhwa 28100, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myat Soe","family":"Thet","sequence":"additional","affiliation":[{"name":"Department of Surgery and Cancer , Faculty of Medicine, , London SW7 2AZ, United Kingdom"},{"name":"Imperial College London , Faculty of Medicine, , London SW7 2AZ, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalim Ullah","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery , Khalifa Gul Nawaz Hospital, , Bannu, Khyber Pakhtunkhwa 28100, Pakistan"},{"name":"Medical Teaching Institution , Khalifa Gul Nawaz Hospital, , Bannu, Khyber Pakhtunkhwa 28100, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nusrat","family":"Ullah","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery , Khalifa Gul Nawaz Hospital, , Bannu, Khyber Pakhtunkhwa 28100, Pakistan"},{"name":"Medical Teaching Institution , Khalifa Gul Nawaz Hospital, , Bannu, Khyber Pakhtunkhwa 28100, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,7,6]]},"reference":[{"key":"2024070607530903000_ref1","doi-asserted-by":"crossref","first-page":"143","DOI":"10.4103\/sni.sni_34_18","article-title":"Dorsal accessory ectopic breast with polythelia - a marker of occult spinal dysraphism","volume":"9","author":"Gandhoke","year":"2018","journal-title":"Surg Neurol Int"},{"key":"2024070607530903000_ref2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.ijscr.2018.12.007","article-title":"Accessory nipple over the right scapula of a 14-year-old boy: an extremely rare and unreported location, case report","volume":"55","author":"Mohammed","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2024070607530903000_ref3","doi-asserted-by":"crossref","first-page":"392","DOI":"10.4103\/0028-3886.158220","article-title":"Dorsal ectopic breast in a case of spinal dysraphism: a rare entity","volume":"63","author":"Gupta","year":"2015","journal-title":"Neurol India"},{"key":"2024070607530903000_ref4","first-page":"144","article-title":"Sein surnum\u00e9raire complet de la cuisse chez un homme [complete supernumerary breast on the thigh in a male patient]","volume":"128","author":"Boivin","year":"2001","journal-title":"Ann Dermatol Venereol"},{"key":"2024070607530903000_ref5","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.7221","article-title":"Incidence of occult spinal dysraphism among infants with cutaneous stigmata and proportion managed with neurosurgery: a systematic review and meta-analysis","volume":"3","author":"Choi","year":"2020","journal-title":"JAMA Netw Open"},{"key":"2024070607530903000_ref6","first-page":"913","article-title":"Okkult spinal dysrafisme [occult spinal dysraphism]","volume":"122","author":"Meling","year":"2002","journal-title":"Tidsskr Nor Laegeforen"},{"key":"2024070607530903000_ref7","first-page":"S5","article-title":"Classification, clinical features, and genetics of neural tube defects","volume":"35","author":"Salih","year":"2014","journal-title":"Saudi Med J"},{"key":"2024070607530903000_ref8","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1055\/s-0033-1343989","article-title":"Development of the human breast","volume":"27","author":"Javed","year":"2013","journal-title":"Semin Plast Surg"},{"key":"2024070607530903000_ref9","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1023\/A:1026487120779","article-title":"Human breast development","volume":"5","author":"Howard","year":"2000","journal-title":"J Mammary Gland Biol Neoplasia"},{"key":"2024070607530903000_ref10","first-page":"99","article-title":"The development of the mammary gland: arris and gale lecture, delivered at the Royal College of Surgeons of England on 25th October, 1949","volume":"6","author":"Hughes","year":"1950","journal-title":"Ann R Coll Surg Engl"},{"key":"2024070607530903000_ref11","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1016\/S0190-9622(03)00467-5","article-title":"Axillary polymastia","volume":"49","author":"Burdick","year":"2003","journal-title":"J Am Acad Dermatol"},{"key":"2024070607530903000_ref12","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.5858\/2001-125-1372-ISJCAI","article-title":"Invasive secretory (juvenile) carcinoma arising in ectopic breast tissue of the axilla","volume":"125","author":"Shin","year":"2001","journal-title":"Arch Pathol Lab Med"},{"key":"2024070607530903000_ref13","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1136\/pgmj.48.562.493","article-title":"Spinal dysraphism","volume":"48","author":"Grant","year":"1972","journal-title":"Postgrad Med J"},{"key":"2024070607530903000_ref14","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1002\/bjs.4225","article-title":"Management of accessory breast tissue in the axilla","volume":"90","author":"Down","year":"2003","journal-title":"Br J Surg"},{"key":"2024070607530903000_ref15","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1177\/000313481007600305","article-title":"Surgical treatment of axillary accessory breasts","volume":"76","author":"Aydogan","year":"2010","journal-title":"Am Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/7\/rjae441\/58457866\/rjae441.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/7\/rjae441\/58457866\/rjae441.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T07:53:23Z","timestamp":1720252403000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae441\/7708308"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,1]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae441","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,7]]},"published":{"date-parts":[[2024,7,1]]},"article-number":"rjae441"}}