Contralateral Axillary Metastasis in Breast Cancer : case report

Samya Jalal Wrmzyar
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Abstract

Background:Contralateral axillary metastasis is a rare presentation in breast cancer, normally treated as a systemic disease. New researches shows that it may represent a locally advanced disease due to altered lymphatic drainage or it may be the only presentation of a contralateral primary occult breast cancer . Many recent publications have proposed aggressive surgical treatment with benefits to the patients in terms of survival. Case report: We present a case with a history of unilateral breast cancer, presented with contralateral axillary metastasis without any evidence of distant metastasis or new primary contralateral breast cancer. Conclusion: There is limited evidence of the correct management of contralateral axillary metastasis, and individualized multidisciplinary management is the best option for these patients , and it is proposed to be treat it as a loco regional disease for best survival benefit of the patient.
乳腺癌对侧腋窝转移1例
背景:对侧腋窝转移是乳腺癌中一种罕见的表现,通常被视为全身性疾病。新的研究表明,它可能是一种局部晚期疾病,由于淋巴引流改变,或者它可能是对侧原发性隐匿性乳腺癌的唯一表现。许多最近的出版物提出积极的手术治疗,有利于患者的生存。病例报告:我们提出一个单侧乳腺癌病史的病例,表现为对侧腋窝转移,没有任何证据表明远处转移或新的原发性对侧乳腺癌。结论:对侧腋窝转移的正确治疗证据有限,个体化多学科治疗是对侧腋窝转移患者的最佳选择,建议将其作为局部区域疾病治疗,以获得患者的最佳生存效益。
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