An Axillary Metastasis as the First Sign of the Breast Carcinoma – A Case Review

Authors: V. Červinka;  K. Šťastný;  K. Havlíček;  L. Nechvátal
Authors‘ workplace: Chirurgická klinika Krajské nemocnice Pardubice, přednosta doc. MUDr. K. Havlíček. CSc. ;  Ústav zdravotnických studií Univerzity Pardubice, ředitel prof. MUDr. A. Pellant, DrSc.
Published in: Rozhl. Chir., 2006, roč. 85, č. 2, s. 71-73.
Category: Monothematic special - Original


Carcinoma of the breast is the most commonly diagnosed women cancer. Less than 1% of the patients diagnosed with breast cancer initially present with axillary metastases as their only clinical manifestation.

We report case of 58 years old woman with occult breast carcinoma in which extensive axillary node metastasis was the first manifestation.

Breast cancer presenting with axillary metastases and no clinical apparent primary tumour in the breast is an uncommon form of stage II or IV of this disease. Ultrasonography, mammography, MRI and excisional biopsy are indicated for detecting occult primary tumours. The appropriate treatment of the breast after an axillary presentation of occult breast carcinoma continues to be a controversial issue. Complete axillary lymph node dissection is indicated in all patients. As a local treatment of the breast is indicated irradiation of the breast or total mastectomy or subcutaneus mastectomy with application of the breast prothesis.

Axillary metastasis is rare first sign of breast cancer. Diagnostics of the occult breast carcinoma is difficult. The treatment of occult breast carcinoma is still controversial.

Key words:
occult breast cancer – axillary metastasis – mamography – ultrasound of the breast – MRI – excisional biopsy – controversial treatment

Surgery Orthopaedics Trauma surgery

Article was published in

Perspectives in Surgery

Issue 2

2006 Issue 2

Most read in this issue

This topic is also in:

Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account