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Internal mammary sentinel node metastases in an otherwise lymph-node negative breast cancer patient. 2002
Francisco J Julián, and
Manel Fraile, and
Mariona Llatjós, and
Miguel Rull, and
Ferran Fusté, and
Eva Castellà, and
Virginia Vallejos, and
Antonio Mariscal, and
Agustí Barnadas, and
Antoni Alastrué
Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain.
A 35 year old woman with biopsy proved breast cancer was submitted for sentinel node (SN) biopsy. Preoperative lymphoscintigraphy displayed both axillary and internal mammary (IM) uptake foci consistent with SNs. Full axillary dissection was completed because of a greater-than 2 cm primary lesion. Two axillary SNs were excised. An IM SN was also excised through the second intercostal space, with the aid of the gamma probe. Fourteen axillary nodes, including SNs, were negative, whereas the IM SN harbored several metastatic implants. Implications for staging, prognosis and further therapy of such IM-only positive sentinel nodes are discussed.
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