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Updated: Jul 25, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
A patient with rapidly growing axillary masses
Jurga Marshall1, Priya Bhave, Mirela Bruza-Augatis
1Jurga Marshall is an assistant professor in the PA program at Seton Hall University in Nutley, N.J., and practices in the ED at St. Mary's General Hospital in Passaic, N.J. Priya Bhave practices at Union Square Medical Associates in Elizabeth, N.J. Mirela Bruza-Augatis is an adjunct professor in the PA program at Seton Hall University. Christine Fernandez is medical director at Seton Hall University. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
About 85,000 melanomas are diagnosed every year in the United States, but only about 3.2% are diagnosed without a primary site. This article describes a patient who presented with two rapidly growing axillary masses and was found to have metastatic melanoma of the lymph nodes with no known primary site. Melanoma of unknown primary (MUP) site is staged either III or IV level. Management is determined in the same manner as stage-matched melanoma of known primary site.
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