IMR Press / EJGO / Volume 31 / Issue 6 / pii/1630990945343-32197886

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report
Contralateral axillary involvement in breast cancer recurrence: locoregional disease or metastasis?
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1 Institut du Sein, Hôpital Mère Enfant, Universitary Hospital of Limoges, Limoges
2 Medecine Nucléaire, Universitary Hospital of Limoges, Limoges
3 Oncologie Médicale, Universitary Hospital of Limoges, Limoges (France)
Eur. J. Gynaecol. Oncol. 2010, 31(6), 694–696;
Published: 10 December 2010

We describe a case of right mammary homolateral recurrence with controlateral axillary invasion. The absence of occult involvement of the left breast was confirmed by MRI. A subsequent thoraco-abdomino-pelvic scan and bone scintigraphy did not reveal any metastases. Lymphoscintigraphy of the right breast, after periareolar injection, revealed lymphatic drainage from the right breast into the left contralateral axillary lymph node. Because of the changes in axillary drainage after mammary and axillary surgery observed by lymphoscintigraphy, contralateral axillary involvement could be considered as locoregional disease in the same way as homolateral lymph node involvement.
Breast cancer
Contralateral axillary recurrence
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