The Results of Occult Breast Carcinoma Treated with Axillary Node Dissection Only: Five Cases Reports

Youngmin Kim; Hyosun Kim; Jihyoung Cho; Sunyoung Kwon; Soohyun Yeo; Sun Hee Kang

doi:http://dx.doi.org/10.14449/jbd.2016.4.1.24

The Results of Occult Breast Carcinoma Treated with Axillary Node Dissection Only: Five Cases Reports

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Type: Academic journal

Author: Youngmin Kim (Departments of Surgery Keimyung University School of Medicine) Hyosun Kim (Departments of Surgery Keimyung University School of Medicine) Jihyoung Cho (Departments of Surgery Keimyung University School of Medicine) Sunyoung Kwon (Departments of Pathology Keimyung University School of Medicine)

Journal: 한국유방암학회 Journal of Breast Disease Journal of Breast Disease 제4권 제1호 KCI Accredited Journals

Published: 2016.6

Pages: 24 - 27 (4page)

DOI: http://dx.doi.org/10.14449/jbd.2016.4.1.24

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The Results of Occult Breast Carcinoma Treated with Axillary Node Dissection Only: Five Cases Reports

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Herein, we report five cases of occult breast cancer treated with axillary node dissection only, without breast surgery or whole breast radiotherapy. The patients complained of a large, hard mass in the axillary area, although no breast masses were palpable. Biopsy of the axillary mass was performed in each case, and histological examination showed a metastatic carcinoma. No malignant findings were observed by mammography or ultrasonography. Magnetic resonance imaging and systemic examinations revealed no extramammary primary lesions. All patients underwent axillary lymph node dissection without breast surgery, and were administered adjuvant chemotherapy but not whole breast radiation therapy. The median follow-up period was 56 months (range, 15?241 months). The patients were all alive with no evidence of disease at the end of the follow-up period.

#Axilla #Breast #Lymph node excision #Unknown primary neoplasms

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References (13)

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Merson M / 1992 / Breast carcinoma presenting as axillary metastases without evidence of a primary tumor / Cancer 70:504~508

Kyokane T / 1995 / Clinicopathological characteristics of non-palpable breast cancer presenting as axillary mass / Breast Cancer 2:105~112

Baron PL / 1990 / Occult breast cancer presenting with axillary metastases: updated management / Arch Surg 125:210~214

Halsted WS / 1907 / The results of radical operations for the cure of carcinoma of the breast / Ann Surg 46:1~19

Takabatake D / 2008 / Two cases of occult breast cancer in which PET-CT was helpful in identifying primary tumors / Breast Cancer 15:181~184

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