PDF(Pubmed)
Abstract：
UNASSIGNED: Non-mammary metastases to the breast and axilla are rare instances, and isolated axillary lymph node metastases are especially rare. We present a rare case of left axillary lymph node metastasis from a primary endometrial carcinosarcoma.
METHODS: We report a case of a 73-year-old woman who presented with a left breast tail palpable mass. Sonomammography and breast MRI revealed multiple enlarged left axillary lymph nodes (LN) showing malignant criteria without any suspected malignancy in either breast on imaging. The patient underwent a nodal excisional biopsy that diagnosed axillary lymph node metastasis from a gynecologic origin. Complementary abdominopelvic CT revealed a suspicious endometrial mass that was confirmed on MRI. She underwent D&C and the pathology revealed endometrial carcinosarcoma.
UNASSIGNED: Accurate detection of extramammary primary sites is crucial as their management and outcome differ significantly from primary breast cancer. To the best of our knowledge, our case could be the first reported case of isolated metastatic axillary LN from uterine carcinosarcoma presenting as the initial symptom without pelvic or abdominal LN involvement.
CONCLUSIONS: For these patients to avoid needless surgical procedures and therapies, a proper diagnosis made by a multidisciplinary team with precise radiologic and pathologic correlation is essential.
METHODS: We report a case of a 73-year-old woman who presented with a left breast tail palpable mass. Sonomammography and breast MRI revealed multiple enlarged left axillary lymph nodes (LN) showing malignant criteria without any suspected malignancy in either breast on imaging. The patient underwent a nodal excisional biopsy that diagnosed axillary lymph node metastasis from a gynecologic origin. Complementary abdominopelvic CT revealed a suspicious endometrial mass that was confirmed on MRI. She underwent D&C and the pathology revealed endometrial carcinosarcoma.
UNASSIGNED: Accurate detection of extramammary primary sites is crucial as their management and outcome differ significantly from primary breast cancer. To the best of our knowledge, our case could be the first reported case of isolated metastatic axillary LN from uterine carcinosarcoma presenting as the initial symptom without pelvic or abdominal LN involvement.
CONCLUSIONS: For these patients to avoid needless surgical procedures and therapies, a proper diagnosis made by a multidisciplinary team with precise radiologic and pathologic correlation is essential.
摘要：
■乳腺和腋窝的非乳腺转移很少见，孤立的腋窝淋巴结转移尤其罕见。我们介绍了原发性子宫内膜癌肉瘤的罕见左腋窝淋巴结转移病例。
方法：我们报告了一例73岁女性，其表现为左侧乳房尾部明显肿块。X线摄影和乳腺MRI显示多个左侧腋窝淋巴结肿大（LN），显示出恶性标准，影像学上任一乳腺均无任何可疑恶性肿瘤。该患者接受了淋巴结切除活检，诊断为妇科腋窝淋巴结转移。补充腹盆腔CT显示可疑子宫内膜肿块，经MRI证实。她接受了D＆C，病理显示子宫内膜癌肉瘤。
■乳腺原发灶的准确检测是至关重要的，因为它们的治疗和预后与原发性乳腺癌有显著差异。据我们所知,我们的病例可能是第一例报道的子宫癌肉瘤中孤立性转移性腋窝LN的病例，其最初症状为无盆腔或腹部LN受累。
结论：对于这些患者，为了避免不必要的外科手术和治疗，由具有精确的放射学和病理学相关性的多学科团队做出正确的诊断至关重要.
方法：我们报告了一例73岁女性，其表现为左侧乳房尾部明显肿块。X线摄影和乳腺MRI显示多个左侧腋窝淋巴结肿大（LN），显示出恶性标准，影像学上任一乳腺均无任何可疑恶性肿瘤。该患者接受了淋巴结切除活检，诊断为妇科腋窝淋巴结转移。补充腹盆腔CT显示可疑子宫内膜肿块，经MRI证实。她接受了D＆C，病理显示子宫内膜癌肉瘤。
■乳腺原发灶的准确检测是至关重要的，因为它们的治疗和预后与原发性乳腺癌有显著差异。据我们所知,我们的病例可能是第一例报道的子宫癌肉瘤中孤立性转移性腋窝LN的病例，其最初症状为无盆腔或腹部LN受累。
结论：对于这些患者，为了避免不必要的外科手术和治疗，由具有精确的放射学和病理学相关性的多学科团队做出正确的诊断至关重要.
