PMID: 18705435Aug 19, 2008Paper

Breast cancer presenting as a mass in the axilla: a report of two cases

West African Journal of Medicine
Michael Ohene-Yeboah

Abstract

Breast cancer presenting initially as enlarged axillary lymph node is very unusual. To highlight the less frequent clinical presentation of breast cancer as persistent isolated, unilateral axillary lymphadenopathy. A report of two patients who presented with persistent axillary lymphadenopathy. Case one was a 65-year old woman who presented with an eight-month history of a painless mass in the right axilla. Clinical breast examination was normal. A mammogram was performed. The sub-clinical mass was excised using wire-guided localization providing a specimen for histology. A complete dissection of the right axilla was done and the specimen sent for histological examination. In a second case a 73-year old otherwise healthy woman reported for the assessment of two painful masses in the right axilla. Two hard ovoid masses 2.5 cm x 3.5 cm and 3.0 cm x 3.5 cm were palpated in the right axilla. No other masses were palpable. Both breasts were normal on examination. Mammograms and chest X-rays were done. Fine needle aspiration cytology was done on both masses. A right sided complete axillary lymph node dissection was performed. In case one, mammogram revealed a 5-mm sub mass in the right breast that was shown to be carcinoma. In case t...Continue Reading

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