A case of contralateral inguinal lymph node metastases from breast cancer

Abstract Background Breast cancer is well known to tends to invade through the lymphatic chains mainly to the axillary and subclavian nodes or occasionally to the internal mammary nodes. However, inguinal lymph node metastasis from breast cancer is extremely rare. Case presentation We have experienc...

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Main Authors: Takeo Kimoto, Norio Kohno, Akiko Okamoto, Kyosuke Ota, Takafumi Tani, Takeshi Kondo, Mari Nishio
Format: Article
Language:English
Published: Japan Surgical Society 2021-04-01
Series:Surgical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s40792-021-01181-z
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author Takeo Kimoto
Norio Kohno
Akiko Okamoto
Kyosuke Ota
Takafumi Tani
Takeshi Kondo
Mari Nishio
author_facet Takeo Kimoto
Norio Kohno
Akiko Okamoto
Kyosuke Ota
Takafumi Tani
Takeshi Kondo
Mari Nishio
author_sort Takeo Kimoto
collection DOAJ
description Abstract Background Breast cancer is well known to tends to invade through the lymphatic chains mainly to the axillary and subclavian nodes or occasionally to the internal mammary nodes. However, inguinal lymph node metastasis from breast cancer is extremely rare. Case presentation We have experienced a case of an 82-year-old woman showing left inguinal lymph node metastases from right breast cancer. Previously, she had received five times abdominal operations and left artificial bone head replacement for metamorphous hip-joint disease. Although the metastases were firstly detected 46 months after the breast surgery, they had already existed at the time of the breast operation, which was retrospectively re-evaluated by CT examination. The progression pattern of inguinal lymph node metastases had much correlated with that of the breast cancer. She underwent inguinal lymph node dissections. Pathological findings revealed them being compatible with breast cancer origin. Conclusions This is the sixth case having been reported in English literature. Besides, this is the first case showing the contralateral spread to the primary breast cancer. One of the causes of this complex metastatic pattern is thought be ascribed to the previously performed prolific abdominal operations.
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issn 2198-7793
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publishDate 2021-04-01
publisher Japan Surgical Society
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series Surgical Case Reports
spelling doaj-art-e54b2e50fa9241418efcd4be7733e0b32025-08-20T03:57:59ZengJapan Surgical SocietySurgical Case Reports2198-77932021-04-01711610.1186/s40792-021-01181-zA case of contralateral inguinal lymph node metastases from breast cancerTakeo Kimoto0Norio Kohno1Akiko Okamoto2Kyosuke Ota3Takafumi Tani4Takeshi Kondo5Mari Nishio6Department of Surgery, Kobe Kaisei HospitalDepartment of Breast Surgery, Saiseikai Nakatsu HospitalDepartment of Breast Surgery, Kohnan Medical CenterDepartment of Surgery, Kobe Kaisei HospitalDepartment of Surgery, Kobe Kaisei HospitalDivision of Forensic Pathology, Department of Forensic Medicine, Kobe University Graduate School of MedicineDivision of Pathology, Department of Pathology, Kobe University Graduate School of MedicineAbstract Background Breast cancer is well known to tends to invade through the lymphatic chains mainly to the axillary and subclavian nodes or occasionally to the internal mammary nodes. However, inguinal lymph node metastasis from breast cancer is extremely rare. Case presentation We have experienced a case of an 82-year-old woman showing left inguinal lymph node metastases from right breast cancer. Previously, she had received five times abdominal operations and left artificial bone head replacement for metamorphous hip-joint disease. Although the metastases were firstly detected 46 months after the breast surgery, they had already existed at the time of the breast operation, which was retrospectively re-evaluated by CT examination. The progression pattern of inguinal lymph node metastases had much correlated with that of the breast cancer. She underwent inguinal lymph node dissections. Pathological findings revealed them being compatible with breast cancer origin. Conclusions This is the sixth case having been reported in English literature. Besides, this is the first case showing the contralateral spread to the primary breast cancer. One of the causes of this complex metastatic pattern is thought be ascribed to the previously performed prolific abdominal operations.https://doi.org/10.1186/s40792-021-01181-zInguinal lymph node metastasisBreast cancerContralateral metastasisLymphatic pathway
spellingShingle Takeo Kimoto
Norio Kohno
Akiko Okamoto
Kyosuke Ota
Takafumi Tani
Takeshi Kondo
Mari Nishio
A case of contralateral inguinal lymph node metastases from breast cancer
Surgical Case Reports
Inguinal lymph node metastasis
Breast cancer
Contralateral metastasis
Lymphatic pathway
title A case of contralateral inguinal lymph node metastases from breast cancer
title_full A case of contralateral inguinal lymph node metastases from breast cancer
title_fullStr A case of contralateral inguinal lymph node metastases from breast cancer
title_full_unstemmed A case of contralateral inguinal lymph node metastases from breast cancer
title_short A case of contralateral inguinal lymph node metastases from breast cancer
title_sort case of contralateral inguinal lymph node metastases from breast cancer
topic Inguinal lymph node metastasis
Breast cancer
Contralateral metastasis
Lymphatic pathway
url https://doi.org/10.1186/s40792-021-01181-z
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