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Axillary lymph node calcification due to metastatic papillary carcinoma

S W Chen1, G Bennett, J Price

  • 1Medical Imaging Department, Canberra Hospital, Australian Capital Territory, Australia.

Australasian Radiology
|September 4, 1998
PubMed
Summary

Calcification within an axillary lymph node on mammography can indicate metastatic papillary carcinoma, potentially from the thyroid. This case highlights the importance of considering lymph node calcification in mammography diagnostics.

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Area of Science:

  • Radiology
  • Oncology
  • Pathology

Background:

  • Mammography is a key screening tool for breast cancer.
  • Axillary lymph nodes are frequently evaluated during mammography.
  • Calcifications within lymph nodes can have various causes.

Observation:

  • A screening mammogram revealed calcification in an axillary lymph node.
  • This calcification was the initial sign of disease.
  • The underlying malignancy was suspected to be papillary carcinoma of thyroid origin.

Findings:

  • Axillary lymph node calcification can be a presenting feature of metastatic papillary carcinoma.
  • Papillary thyroid carcinoma can metastasize to axillary lymph nodes.
  • Mammographic findings require careful differential diagnosis.

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Implications:

  • This case underscores the significance of axillary lymph node calcification on mammography.
  • It expands the differential diagnosis for mammographic findings.
  • Early detection of metastatic disease can improve patient outcomes.