AI Article Synopsis

  • The occurrence of unusual lymph node drainage in breast cancer patients may require a reevaluation of current staging and treatment protocols.
  • Reports of cases like this challenge the classification of staging, often labeling such instances as stage IV cancer, which impacts treatment decisions.
  • A specific case is highlighted where a patient's lymphoscintigraphy showed sentinel lymph node drainage to the opposite axilla, leading to a change in surgical approach and staging.

Article Abstract

The rare but significant reports of aberrant lymph node drainage outside of the ipsilateral axilla in patients with breast cancer necessitate a review of the staging and treatment strategies for these patients. Current staging modalities continue to describe this phenomenon as a stage IV cancer, which could have profound implications for clinical management. We report a case of a patient with recurrent right breast invasive ductal carcinoma whose preoperative lymphoscintigraphy revealed sentinel lymph node drainage to the contralateral axilla. This discovery subsequently altered surgical planning and her ultimate stage.

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http://dx.doi.org/10.1111/tbj.13816DOI Listing

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