Open AccessReactive intramammary lymph node mimicking recurrence on MRI study in a patient with prior breast conservation therapy
Author(s) -
Seema Kembhavi,
Himanshu Choudhary,
Kedar Deodhar,
Meenakshi Thakur
Publication year - 2013
Publication title -
journal of cancer research and therapeutics/journal of cancer research and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.475
H-Index - 39
eISSN - 0973-1482
pISSN - 1998-4138
DOI - 10.4103/0973-1482.110396
Subject(s) - medicine , breast cancer , malignancy , radiology , lymph node , mammography , modified radical mastectomy , breast mri , biopsy , mastectomy , stage (stratigraphy) , breast ultrasound , magnetic resonance imaging , ultrasound , cancer , paleontology , biology
Breast conservative therapy (BCT) is a well accepted form of treatment for patients with early stage breast cancer. The incidence of ipsilateral breast tumor recurrence is higher in patients undergoing BCT than in those patients undergoing Modified Radical Mastectomy (MRM) without any adverse effect on survival. Patients treated with BCT are put on active surveillance using clinical breast examination and mammography. The radiologist reading the follow-up mammograms is on high alert and any neo-density is viewed with suspicion. MRI may be used as a problem solving tool. At such a time, an innocuous intra-mammary node can mimic malignancy on MRI. We want to showcase one such typical example with histological proof and highlight that type III curve may be seen in an intramammary node. Our case also reinforces the utility of second look ultrasound which is a faster, cheaper and easier method for localization and biopsy of abnormalities seen on MRI.