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Published: 2025-09-30
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DOI: https://doi.org/10.52852/tcncyh.v194i9.3818
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Vol. 194 No. 9 (2025)
Section
Các bài báo
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Dung, P. T. V., & Dũng, N. T. (2025). 22. Surgical outcomes of axillary accessory breast in women using our novel classification. Journal of Medical Research, 194(9), 213-227. https://doi.org/10.52852/tcncyh.v194i9.3818

22. Surgical outcomes of axillary accessory breast in women using our novel classification

Pham Thi Viet Dung, Nguyen Tien Dung

Main Article Content

Abstract

This study aimed to develop and introduce a novel classification system based on the clinical characteristics of axillary accessory breast tissue, and to evaluate its application in surgical management. A total of 65 female patients with 121 accessory breast tissues underwent surgery at Hoe Nhai General Hospital and Bach Mai Hospital between January 2021 and March 2025. Data collected included age, physiological stage, indication for treatment, symptoms, number and location of accessory breasts, and associated breast conditions. Patients were categorized into four main groups with subgroups according to the presence of glandular tissue, adipose tissue, redundant skin, accessory areola–nipple, and symptom severity, in order to guide appropriate surgical interventions (removal of accessory areola–nipple, liposuction, glandular excision, skin excision, or combinations). At 3 months postoperatively, 73.55% of cases achieved good aesthetic outcomes, 96.69% showed functional improvement, and patient satisfaction was 83.08%. Early complications occurred in 3 patients (seroma, upper limb paresthesia, postoperative bleeding), while late complications were mainly residual axillary skin or visible axillary scars. The novel classification system provides clear guidance for selecting surgical approaches, thereby improving surgical quality, optimizing both functional and aesthetic outcomes, reducing complications, and enhancing patient satisfaction.

Article Details

Keywords

Accessory breast tissue, axilla, classification system, clinical characteristics, surgical outcomes

References

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