학회지검색
대한유방검진의학회 학회지
Case Report
1 Department of Radiology, Ewha Womans University, Mokdong Hospital, College of Medicine, Seoul, Korea, 2 Department of Pathology, Ewha Womans University, Mokdong Hospital, College of Medicine, Seoul, Korea
Ovarian cancer presenting as axillary lymph node metastasis is extremely rare, especially in cases where the breast is not involved.
We report a case of ovarian carcinoma initially presenting as contralateral axillary lymphadenopathy with associated breast skin thickening in a patient who had underwent left-sided mastectomy for breast cancer.
A 66-year-old woman with a history of left modified radical mastectomy 13 years ago, had right axillary lymphadenopathy with localized skin thickening of the right breast on follow-up mammography and ultrasound. Abdomen-pelvis CT on the same day demonstrated peritoneal masses. Finally, ultrasound-guided biopsy of the axillary lymph node revealed high-grade serous carcinoma of ovarian origin.
In the case of rare spreading patterns, axillary metastasis of other malignancy excluding breast cancer must be considered with active evaluation.
Key Words: Breast cancer; Ovarian cancer; Axillary lymph node metastasis; Ultrasound-guided core needle biopsy