title: Submental lymph node metastasis from invasive ductal breast carcinoma.
abstract: This case report presents a 52-year-old woman with a submental swelling which arose 3 years after wide local excision and axillary lymphadenectomy for breast carcinoma. Histopathological examination after excision biopsy of this lesion confirmed the presence of invasive breast carcinoma in a submental lymph node. Computed tomography of the head, neck, thorax, abdomen and pelvis demonstrated multiple brain and pulmonary metastases. Further management was palliative and the patient died 5 months later. This is the first description of a breast carcinoma metastasising to the submental region. Metastatic breast carcinoma should be considered in the differential diagnosis of head and neck lymphadenopathy in patients with previously diagnosed breast carcinoma.
authors: Department of Plastic Surgery, St. Bartholomew's Hospital, West Smithfield, London, EC1A 7BE, UK. sammyalbenna@doctors.org.uk
authors: Sammy
authors: S
authors: Al-Benna
authors: Elias
authors: E
authors: Tzakas
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology* / Q000556:secondary / Q000601:surgery; D018270:Carcinoma, Ductal, Breast / Q000473:pathology* / Q000556:secondary / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009333:Neck