Subject(s)
Humans , Male , Young Adult , Inpatients , Physical Examination , Blindness , Eye Pain , HyperemiaABSTRACT
INTRODUCTION: Contralateral axillary lymph node metastasis (CAM) is a rare clinical condition in patients with breast cancer. It can be explained from hematogenous spread from the original primary tumor (stage IV) to aberrant regional lymphatic drainage to the contralateral axilla. However, according to the current clinical guidelines, regardless of its origin, CAM is considered as metastatic disease. CASE PRESENTATION: A 68-year-old woman presented with relapsed right breast cancer; lymphoscintigraphy showed only one sentinel lymph node (SLN) in the contralateral axilla (left region). Twenty-four hours later, the patient underwent upper internal quadrantectomy and bilateral selective lymph node biopsy. The final pathological analysis revealed one contralateral macrometastasis (>4 mm) in one left SLN. Subsequently, second-level left lymphadenectomy was performed. Currently the patient is being treated with chemotherapy, with appropriate clinical response. DISCUSSION: Our patient was considered to be node-positive rather than having metastatic disease since the preoperative lymphoscintigraphy demonstrated contralateral lymphatic drainage. Through preoperative scan in patients with relapsed breast cancer with clinically negative lymph nodes and CAM, it is possible to identify those cases that would benefit from therapy with curative intention.
Subject(s)
Breast Neoplasms , Aged , Axilla/pathology , Breast Neoplasms/pathology , Female , Humans , Lymph Node Excision , Lymph Nodes/pathology , Lymphatic Metastasis , Neoplasm Recurrence, Local/surgery , Neoplasm Staging , Retrospective Studies , Sentinel Lymph Node BiopsyABSTRACT
No disponible
Subject(s)
Male , Adult , Infarction/diagnostic imaging , Tibia/blood supply , Tomography, Emission-Computed, Single-Photon , Diphosphonates , Organotechnetium Compounds , Tibia/diagnostic imaging , Tomography, X-Ray ComputedSubject(s)
Mycobacterium Infections/diagnosis , Mycobacterium/isolation & purification , Panniculitis, Peritoneal/diagnostic imaging , Positron Emission Tomography Computed Tomography , Adult , Computed Tomography Angiography , Diagnosis, Differential , Fluorodeoxyglucose F18 , Humans , Lymphoproliferative Disorders , Male , Mycobacterium Infections/complications , Panniculitis, Peritoneal/microbiology , Panniculitis, Peritoneal/pathology , RadiopharmaceuticalsABSTRACT
No disponible
Subject(s)
Humans , Female , Adolescent , Fluorodeoxyglucose F18/administration & dosage , Fluorodeoxyglucose F18/analysis , Rhabdomyosarcoma, Alveolar/diagnostic imaging , Rhabdomyosarcoma, Alveolar/drug therapy , Positron-Emission Tomography , Biopsy , Ifosfamide/therapeutic use , Vincristine/therapeutic use , Dactinomycin/therapeutic use , Doxorubicin/therapeutic useSubject(s)
Positron Emission Tomography Computed Tomography , Rhabdomyosarcoma, Alveolar/diagnostic imaging , Soft Tissue Neoplasms/diagnostic imaging , Adolescent , Female , Fluorodeoxyglucose F18 , Humans , Neoplasm Metastasis , Neoplasm Staging , Radiopharmaceuticals , Rhabdomyosarcoma, Alveolar/pathology , Soft Tissue Neoplasms/pathologyABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Multiple Myeloma/drug therapy , Multiple Myeloma , Fluorodeoxyglucose F18/administration & dosage , Positron-Emission Tomography/methods , Bortezomib/therapeutic use , Dexamethasone/therapeutic use , Cyclophosphamide/therapeutic use , Bendamustine Hydrochloride/therapeutic use , Immunoglobulin kappa-Chains/analysis , Plasmacytoma/drug therapy , Plasmacytoma , Radiopharmaceuticals/administration & dosageABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Camurati-Engelmann Syndrome/physiopathology , Camurati-Engelmann Syndrome , Muscle Weakness/complications , Muscle Weakness , Radiography, Thoracic , Bone Demineralization, Pathologic/complications , Bone Demineralization, Pathologic , Radionuclide Imaging/methods , Camurati-Engelmann Syndrome/drug therapy , Proton Pumps/therapeutic useSubject(s)
Camurati-Engelmann Syndrome/diagnostic imaging , Adult , Female , Humans , Radionuclide ImagingABSTRACT
No disponible
