title: Unusual site of metastasis of bronchogenic carcinoma.
abstract: Metastasis of bronchogenic carcinoma to the chest wall and axillary lymphnodes is a rare occurrence. This study reports the case of a patient presenting with chest wall swelling as initial symptom which on evaluation was found to be a lymphnode metastasis. The patient also had axillary lymphnode metastasis on the same side as the chest swelling with a contralateral pleural effusion. Here, we discuss the pathways and possible mechanisms of contra lateral axillary and chest wall lymphnode involvement without ispilateral nodal involvement in bronchogenic carcinoma.
authors.affiliation: Department of Internal Medicine, Dhulikhel Hospital - Kathmandu University Hospital, Dhulikhel, Nepal. drpant77@yahoo.com
authors.forename: P
authors.initials: P
authors.lastname: Pant
authors.forename: A
authors.initials: A
authors.lastname: Sedhain
authors.forename: S
authors.initials: S
authors.lastname: D'Souza
authors.forename: B G
authors.initials: BG
authors.lastname: Renuka
mesh_terms: D001365:Axilla; D002283:Carcinoma, Bronchogenic / Q000175:diagnosis / Q000556:secondary*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D035441:Thoracic Wall