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Supernumerary nipple in Child
Other Resources UpToDate PubMed

Supernumerary nipple in Child

Contributors: Craig N. Burkhart MD, Dean Morrell MD, Belinda Tan MD, PhD, Susan Burgin MD, Mitchell Linder MD
Other Resources UpToDate PubMed

Synopsis

Supernumerary nipples (SNs) are common congenital malformations in which additional nipples or related tissue (see accessory breast tissue) occurs along the embryonic milk line. In humans, this line extends bilaterally from a point on the inner arm just beyond the axilla, down the chest, abdomen, and groin, ending on the proximal inner thigh area. Ectopic supernumerary nipples (5%) are found beyond this milk line.

These benign lesions occur in 1%-6% of the population worldwide, and 10% of cases are familial with an autosomal dominance inheritance pattern. Incidence has been reported as more common in males (7:1 male-to-female ratio). Most are single lesions below the regular nipple but may be multiple and bilateral.

SNs are often undetected at birth and are generally without symptoms. Some become more noticeable at adolescence, menstruation, or pregnancy when increased pigmentation, fluctuating swelling and tenderness, or lactation may be noted.

There are some studies that suggest an association between accessory breast tissue, including SNs, and renal anomalies. An increased incidence of ipsilateral Becker nevus has been noted. SNs are found in several multiple congenital anomaly syndromes, including Simpson-Golabi-Behmel (overgrowth, coarse face, embryonal tumors, and congenital cardiac, renal, and/or skeletal abnormalities), cleft lip or palate ectodermal dysplasia, and tricho-odonto-onychial dysplasia. Ectopic glandular breast tissue can develop any of the lesions of normal breast tissue, including malignancy.

Codes

ICD10CM:
Q83.3 – Accessory nipple

SNOMEDCT:
50956007 – Supernumerary nipple

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Common acquired nevus
  • Acrochordon
  • Dermatofibroma
  • Scar
  • Lipoma
  • Common wart
  • Lipoma
  • Epidermoid cyst
  • Other benign and malignant soft tissue neoplasm

Best Tests

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Therapy

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References

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Last Reviewed:12/19/2021
Last Updated:12/20/2021
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Supernumerary nipple in Child
A medical illustration showing key findings of Supernumerary nipple (Infant) : Abdomen, Brown color, Chest, Smooth papule
Clinical image of Supernumerary nipple - imageId=2247680. Click to open in gallery.  caption: 'Brown papules superior and inferior to the nipple / areola complex.'
Brown papules superior and inferior to the nipple / areola complex.
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