Epitrochlear lymph node metastases from invasive ductal breast cancer
Pavan Kumar1, Shalini Singh, N R Datta
1Department of Radiotherapy, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226 014, India. pawan.mehrotra12@rediffmail.com
Journal of Cancer Research and Therapeutics
|October 21, 2009
Summary
This case report details a rare instance of breast cancer spreading to an epitrochlear lymph node, a location previously undocumented for such metastasis. The patient achieved successful treatment and remains disease-free over two years post-diagnosis.
Area of Science:
- Oncology
- Medical Case Reports
Background:
- Breast cancer metastasis typically involves regional lymph nodes and distant organs.
- Epitrochlear lymph nodes are rarely involved in metastatic processes.
Observation:
- A patient presented with metastasis to an epitrochlear lymph node 10 years after primary invasive breast cancer treatment.
- The patient had undergone radiotherapy, chemotherapy, and hormonal therapy for the initial breast malignancy.
Findings:
- This represents the first reported case of epitrochlear lymph node metastasis from primary invasive breast cancer.
- The metastasis was successfully treated, with the patient remaining asymptomatic for over two years.
Implications:
- Highlights the potential for unusual metastatic patterns in late-stage breast cancer.
- Suggests the need for thorough clinical examination, including assessment of epitrochlear nodes, in patients with a history of breast cancer.
- Underscores the importance of long-term surveillance for breast cancer survivors due to the possibility of late recurrences in rare sites.
