• Arch. Gynecol. Obstet. · Apr 2012

    Case Reports

    Submental lymph node metastasis from invasive ductal breast carcinoma.

    • Sammy Al-Benna and Elias Tzakas.
    • Department of Plastic Surgery, St. Bartholomew's Hospital, West Smithfield, London, EC1A 7BE, UK. sammyalbenna@doctors.org.uk
    • Arch. Gynecol. Obstet. 2012 Apr 1; 285 (4): 1153-6.

    AbstractThis 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.

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