Bilateral occult breast carcinoma presenting as bilateral axillary mass: An unusual presentation

Abstract

Occult breast cancer presenting as an axillary mass is a rare clinical finding. Less than 5% of breast carcinoma presents as an axillary mass without an obvious primary tumor. Axillary lymph node showing metastatic adenocarcinoma poses diagnostic and therapeutic problems, when it is the only clinical presentation. In a significant proportion of breast cancer cases, mammographic detection of micro-calcifications is indicative of the presence of a breast lesion. We present a rare case of a bilateral occult breast carcinoma in a 40 year female with bilateral axillary mass without any palpable breast mass.