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Anatomic and clinical rationale of the V-sign to detect accessory axillary breast tissue

Authors Naraynsingh V, Cawich S, Maharaj R, Dan D, Hassranah D

Received 4 December 2013

Accepted for publication 13 January 2014

Published 24 February 2014 Volume 2014:6 Pages 245—248

DOI https://doi.org/10.2147/IJWH.S58709

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2


Vijay Naraynsingh, Shamir O Cawich, Ravi Maharaj, Dilip Dan, Dale Hassranah

Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago, West Indies

Abstract: The potential for breast cancer to present with lymphatic metastases, has instilled anxiety when women present with axillary masses. We discuss a simple and reliable clinical sign that can help clinicians to distinguish between axillary nodal metastases and accessory axillary breast tissue. Awareness and recognition of the “V-sign” can allay anxiety in women with accessary axillary breast tissue and prevent costly investigations in most cases.

Keywords: axilla, cancer, axillary nodal metastases, lymphadenopathy, skin-folding

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