Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Metachronous Contralateral Axillary Lymph Node Metastasis from Invasive Breast Carcinoma: A Case Report with Imaging Findings

침윤성 유방암의 이시성 반대쪽 액와 림프절 전이: 영상 소견을 포함한 증례 보고

  • Jieun Kim (Department of Diagnostic Radiology, Inje University Haeundae Paik Hospital) ;
  • Hyun Kyung Jung (Department of Diagnostic Radiology, Inje University Haeundae Paik Hospital) ;
  • Woogyeong Kim (Department of Pathology, Inje University Haeundae Paik Hospital)
  • 김지은 (인제대학교 해운대백병원 영상의학과) ;
  • 정현경 (인제대학교 해운대백병원 영상의학과) ;
  • 김우경 (인제대학교 해운대백병원 병리과)
  • Received : 2021.03.04
  • Accepted : 2021.04.24
  • Published : 2022.01.01
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Abstract

Contralateral axillary lymph node metastasis is a rare entity in breast cancer and is currently classified as a distant metastasis; however, recent studies have proposed aggressive curative treatment since this entity may manifest as a locoregional disease. Herein, we report a rare case of contralateral axillary lymph node metastasis that presented with imaging findings 22 months after the initial breast cancer diagnosis in a 67-year-old female. The patient underwent lymph node dissection of the axilla with adjuvant chemotherapy and radiotherapy. A follow-up examination 6 months after surgery showed no evidence of tumor recurrence or metastasis.

이시성 반대쪽 액와 림프절 전이는 유방암에서 드물게 발생하며, 현재 원격 전이로 분류되어 있다. 그러나 최근 연구들은 이것이 국소 질환으로 간주될 수 있기 때문에 적극적으로 완치를 위한 치료를 할 것을 제안했다. 이에 저자들은 유방암을 진단받은 지 22개월 후에 반대쪽 액와 림프절 전이가 확인된 67세 여성의 증례를 영상 소견과 함께 보고하고자 한다. 환자는 액와 림프절 절제 수술 후 보조 항암화학요법 및 방사선치료를 받았다. 수술 6개월 후 추적검사에서 종양 재발이나 전이의 증거는 없었다.

Keywords

References

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