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This congenital malformation occurs along the embryonic milk lines, which start in the axilla, continue through the typical nipple and terminate in the groin.
Subtle papillomatosis of epidermis
  • Variable amount of smooth muscle bundles in dermis along with pilosebaceous units and mammary ducts.
  • Work-Up Considerations:

    • Accessory nipple can be diagnosed clinically
    • However, any atypical lesions or lesions suspicious for malignancy should be biopsied for histologic evaluation.

    Treatment:

    • After confirmation of diagnosis, continued routine examination throughout life is recommended.
    • Surgical removal can be performed in symptomatic cases or for cosmetic purposes.
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