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Journal of Breast Disease > Volume 8(2); 2020 > Article
Journal of Breast Disease 2020;8(2): 139-142. doi: https://doi.org/10.14449/jbd.2020.8.2.139
Ipsilateral Breast Tumor Recurrence with Metachronous Contralateral Axillary Lymph Node Metastasis after Breast-Conserving Surgery with Axillary Lymph Node Dissection
Jin Gu Kang, M.D., Young Ah Kim, M.D., Jung Eun Choi, M.D., Ph.D., Soo Jung Lee, M.D., Ph.D., Su Hwan Kang, M.D., Ph.D.
Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea
Corresponding Author: Su Hwan Kang ,Tel: +82-53-620-3580, Fax: +82-53-624-1213, Email: kangsuhwan@yu.ac.kr
Received: August 3, 2019    Revised: November 28, 2019    Accepted: October 21, 2020
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ABSTRACT
Contralateral axillary lymph node metastasis (CAM) is classified into synchronous and metachronous CAM. It is considered a stage IV disease by American Joint Community on Cancer (AJCC) cancer staging system. Although ipsilateral breast tumor recurrence (IBTR) with metachronous CAM is rare, it can occur after previous axillary lymph node dissection (ALND) because of altered lymphatic drainage. Metachronous CAM might be a regional disease progression rather than a distant metastasis. Here, we present a case of IBTR with metachronous CAM. This patient was treated with curative intent. The management of CAM remains controversial.
Keywords: Breast neoplasms | Lymph nodes | Neoplasm metastasis | Recurrence
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