PMID: 15366740Sep 16, 2004Paper

Retrospective study of women presenting with axillary metastases from occult breast carcinoma

World Journal of Surgery
D Kay Blanchard, David R Farley

Abstract

Although palpable axillary lymphadenopathy is most often related to benign disorders, it may be a harbinger of an underlying advanced malignancy. Fewer than 1% of patients diagnosed with breast cancer initially present with axillary metastases as their only clinical manifestation. This study represents the Mayo Clinic experience with women with occult breast cancer who presented with axillary metastases. Among a group of 44 women undergoing axillary biopsy for a palpable mass, 35 had histologic evidence of a metastatic carcinoma of primary breast cancer origin. Our retrospective analysis focused on the workup, identification, treatment, and outcome of these 35 women. All 35 women had a palpable axillary nodule, no dominant breast mass, and normal mammograms and chest radiographs. Histologic analysis of the axillary node revealed a probable breast cancer in all patients. Long-term follow-up was available for 33 patients (mean 71.5 months, range 4-252 months). Mastectomy was performed as part of the primary treatment in 18 patients (51%), and among them a primary breast tumor was found in 6 (33%). Of the women who underwent mastectomy (n = 18) and for whom follow-up data were available (n = 17), six developed tumor recurrence (35...Continue Reading

Citations

Sep 23, 2009·Breast Cancer Research and Treatment·George PentheroudakisNicholas Pavlidis
Sep 11, 2012·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M HeG-H Di
Jul 20, 2010·Annals of Diagnostic Pathology·Steven J OhsieSophia K Apple
Aug 7, 2009·The Breast : Official Journal of the European Society of Mastology·S LanitisD Hadjiminas
Feb 28, 2007·Journal of the American College of Surgeons·John Alfred Carr
Dec 25, 2009·The Breast Journal·Sophocles LanitisDemetri J Hadjiminas
Jun 21, 2014·Ultrasound in Medicine & Biology·Sung Hee ParkHan Suk Ryu
Aug 11, 2015·Gynécologie, obstétrique & fertilité·F CouderN Chopin
Jun 13, 2017·Cancer Research and Treatment : Official Journal of Korean Cancer Association·Byoung Hyuck KimKyubo Kim
Feb 3, 2016·Annals of Surgical Oncology·Francisco Igor B MacedoVijay K Mittal
Jul 22, 2018·Breast Cancer Research and Treatment·Mitsuo TeradaHiroji Iwata

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