Breast cancer metastasizing to the contralateral axilla several years after treatment: A case report with literature review
| Autor: | Shevan M. Mustafa, Hiwa O. Baba, Fahmi H. Kakamad, Abdulwahid M. Salih, Ismael Y. Abdullah, Shvan H. Mohammed, Berwn A. Abdulla, Aso S. Muhialdeen, Zuhair D. Hammood, Mohammed Mustafa, Marwan N. Hassan |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Ipsilateral spread Case Report Contralateral spread Metastasis Lesion 03 medical and health sciences 0302 clinical medicine Breast cancer medicine skin and connective tissue diseases business.industry Cancer medicine.disease Occult Axilla medicine.anatomical_structure 030220 oncology & carcinogenesis Immunohistochemistry 030211 gastroenterology & hepatology Surgery Lymph Radiology medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Introduction and importance Lymph node metastasis is the most prominent prognostic factor in breast cancer. The aim of this paper is to report a case of contralateral axillary lymph node metastasis (CAM) which look like metachronous initially, but histopathologicaly confirmed as synchronous CAM. Case presentation A-44-year old female was a known case of left breast cancer five years prior to this presentation (T2,N2,M0, grade III, Triple negative, multifocal invasive ductal carcinoma). On follow up, multiple contralateral axillary suspicious lymph nodes were discovered. Fine Needle Aspiration Cytology from the lesion revealed grade III, Triple negative, invasive ductal carcinoma consistent with metastasis from the left invasive ductal carcinoma. Bilateral mastectomy and right axillary dissection were performed. The histopathological examination and immunohistochemistry showed left breast recurrent 0.5 cm grade III, Triple negative invasive ductal carcinoma. Discussion If a cancer is found in the contralateral axilla, three main potential sources should be considered: contralateral spread from the original breast tumor, metastasis from an occult primary in the ipsilateral breast, and metastasis from an extramammary site. Conclusion Although CAM in patients with breast cancer is an uncommon condition, it is still possible to occur. There is a controversy regarding the appropriate management. Highlights • Lymph node metastasis is the most prominent prognostic factor in breast cancer. • Ipsilateral axillary lymphnode metastasis is the most common site of involvement. • Contralateral axillary lymphnode metastasis is an unusual finding. • In this paper, a case of synchronous contralateral axillary lymph node metastasis has been discussed. |
| Databáze: | OpenAIRE |
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