![]() There were two palpable hard and enlarged lymph nodes approximately 1.5 cm*1.0 cm in size in the left neck, which showed poor activity. Physical examination: The vital signs were normal the neck was soft the jugular veins were not inflated the trachea was in the middle and the thyroid was not enlarged. ![]() The patient was admitted to our hospital for further diagnosis and treatment. Ultrasonography revealed hypoechoic nodules in her left neck, which was considered to be a lymphadenoid tissue lesion. The lymph node of the left neck was found 5 days ago, and there was no pain or discomfort. The patient presented a right breast mass with the size of an egg without pain or other discomfort 5 months ago that was not treated and had not been significantly enlarged. The complaint was a right breast mass for 5 months and left neck lymph node enlargement for 5 days. Herein, we present a case of breast cancer with contralateral neck lymph node metastasis in a 30-year-old woman, exhibit its clinical, morphological, pathological and immunohistochemical characteristics and discuss its treatment combined with current research.Ī 30-year-old woman was admitted to the Department of Breast and Thyroid Surgery, Third Xiangya Hospital affiliated with Central South University (hereafter referred to as our hospital) on December 10th, 2020. , patients with distant lymph node metastases (DLNM) had similar breast cancer–specific survival (BCSS) and overall survival (OS) to patients with ipsilateral supraclavicular lymph node metastases (ISLM), and locoregional therapies were significantly associated with improved OS for patients with DLNM. Distant lymph node metastasis was once considered a surgical contraindication. At present, scholars have no consensus on whether cervical lymph node dissection should be performed at the same time as radical mastectomy for such patients. Contralateral neck lymph node metastasis is rare for primary breast cancer, and its clinical staging and treatment principles lack authoritative guidelines. The exact drainage pathway of such metastasis is still controversial. The contralateral neck lymph nodes are obviously beyond the category of the regional lymph nodes and could be considered distant metastasis, belonging to stage IV. The regional lymph nodes of breast cancer refer to the axillary, supraclavicular, infraclavicular and intramammary lymph nodes on the affected side. The infrequent presentation of breast cancer with metastasis to the contralateral neck lymph node can be challenging for standard therapies.īreast cancer is the most common malignant tumor among women. The long-term efficacy remains to be seen. The patient was scheduled to undergo chemotherapy, molecular targeted therapy, radiotherapy and endocrine therapy after the operation. Then, right mastectomy was performed immediately. Rapid intraoperative pathological examination diagnosed a right breast malignant tumor and poorly differentiated carcinoma of the left cervical lymph nodes. The ultrasound showed several hypoechoic nodules on the left side of the neck. Mammography showed a 33 mm*14.3 mm mass in the inner quadrant of the right breast. Case presentationĪ 30-year-old woman presented with a right breast mass for 5 months and left neck lymph node enlargement for 5 days. The clinical treatment is discussed in combination with current research. A case of a 30-year-old breast cancer patient with contralateral neck lymph node metastasis is presented. Its clinical staging and treatment principles lack authoritative guidelines. Contralateral neck lymph node metastasis is rare in primary breast cancer.
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