Isolated inguinal lymph node metastasis from breast carcinoma - Case report and review of the literature


Kilçiksiz S., Gökçe T., Kinay M.

Journal of B.U.ON., vol.11, no.2, pp.229-232, 2006 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 11 Issue: 2
  • Publication Date: 2006
  • Journal Name: Journal of B.U.ON.
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.229-232
  • Keywords: Breast carcinoma, Groin, Lymph nodes, Metastasis
  • Dokuz Eylül University Affiliated: Yes

Abstract

We report on a case of a premenopausal woman with breast cancer and unusual disease dissemination with isolated inguinal and iliac lymph node metastasis. The primary tumor was T2N0M0. After mastectomy the patient received adjuvant chemotherapy, hormonotherapy and radiotherapy (RT). Painful edema developed at the right leg 69 months after the operation. Diagnostic investigations revealed isolated right inguinal and iliac lymphadenopathy (LAP). Tru-cut aspiration biopsy was reported as negative. Four months later, abdominal magnetic resonance imaging (MRI) disclosed paraaortic and bilateral iliac and inguinal LAP. Pathological assessment of the right inguinal LAP confirmed a metastasis from breast cancer. After unsuccessful chemotherapy, palliative RT was performed to the inguinal, iliac and paraaortic lymph nodes, resulting in partial response. The patient ultimately died because of disease progression. Clinicians should maintain a high degree of suspicion when coming across with unusual complaints and findings in patients with breast cancer. © 2006 Zerbinis Medical Publications.