title: Breast cancer with inguinal node recurrence.
abstract: Surgery and irradiation for breast cancer may interfere with conventional pathways of spread, leading to bizarre patterns of dissemination through lymphatics or through hematogenous route. Lymphoscintigraphic studies may help identify nodal involvement. Other possible reasons could be occurrence of primary breast cancer in accessory breast tissue retained in the vulva following involution of milk line. We describe a case of triple negative breast cancer, who developed contralateral breast cancer during treatment. Three years later, she developed isolated inguinal nodal metastases, which responded to local radiotherapy and chemotherapy. However, the patient relapsed after 2 years and could not be salvaged thereafter.
authors.affiliation: Department of Radiotherapy, All India Institute of Medical Sciences, New Delhi, India. Electronic address: drshikhagoyal@gmail.com.
authors.forename: Shikha
authors.initials: S
authors.lastname: Goyal
authors.affiliation: Department of Radiotherapy, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Tarun
authors.initials: T
authors.lastname: Puri
authors.affiliation: Department of Radiotherapy, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Pramod K
authors.initials: PK
authors.lastname: Julka
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology* / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000517:prevention & control
keywords: Breast cancer; Inguinal node metastases; Lymphatic pathways