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Elsherif SB, Sharma S, Green K, Fischer A, Ozdemir S, Wynn G. Recurrent Metastatic Breast Cancer in Internal Mammary Lymph Nodes along the Translocated Left Internal Mammary Artery Bypass Graft. Radiol Cardiothorac Imaging 2021; 3:e210042. [PMID: 34235448 DOI: 10.1148/ryct.2021210042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Revised: 04/23/2021] [Accepted: 05/05/2021] [Indexed: 11/11/2022]
Abstract
Internal mammary lymph node (IMLN) is the second most common site for nodal metastases in breast cancer. The authors present a case of a 58-year-old woman with a history of coronary artery bypass graft surgery 1 year prior who presented with a neck mass. Imaging showed an enlarged IMLN along the course of the translocated left internal mammary artery (LIMA) bypass graft on the surface of the heart, and the patient was later proven to have recurrent breast cancer. To the authors' knowledge, this is the first case report in the literature of a breast cancer recurrence in an IMLN along the postoperative translocated LIMA bypass graft. Keywords: Adults, CT, PET/CT, Breast, Thorax, Lymphatic, Metastases © RSNA, 2021.
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Affiliation(s)
- Sherif B Elsherif
- Department of Radiology (S.B.E., S.S., A.F., S.O., G.W.) and Division of Pulmonary and Critical Care Medicine (K.G.), University of Florida College of Medicine, 655 W 8th St, 2nd Floor, Clinical Center, C90, Jacksonville, FL 33209
| | - Swati Sharma
- Department of Radiology (S.B.E., S.S., A.F., S.O., G.W.) and Division of Pulmonary and Critical Care Medicine (K.G.), University of Florida College of Medicine, 655 W 8th St, 2nd Floor, Clinical Center, C90, Jacksonville, FL 33209
| | - Kevin Green
- Department of Radiology (S.B.E., S.S., A.F., S.O., G.W.) and Division of Pulmonary and Critical Care Medicine (K.G.), University of Florida College of Medicine, 655 W 8th St, 2nd Floor, Clinical Center, C90, Jacksonville, FL 33209
| | - Austin Fischer
- Department of Radiology (S.B.E., S.S., A.F., S.O., G.W.) and Division of Pulmonary and Critical Care Medicine (K.G.), University of Florida College of Medicine, 655 W 8th St, 2nd Floor, Clinical Center, C90, Jacksonville, FL 33209
| | - Savas Ozdemir
- Department of Radiology (S.B.E., S.S., A.F., S.O., G.W.) and Division of Pulmonary and Critical Care Medicine (K.G.), University of Florida College of Medicine, 655 W 8th St, 2nd Floor, Clinical Center, C90, Jacksonville, FL 33209
| | - Gregory Wynn
- Department of Radiology (S.B.E., S.S., A.F., S.O., G.W.) and Division of Pulmonary and Critical Care Medicine (K.G.), University of Florida College of Medicine, 655 W 8th St, 2nd Floor, Clinical Center, C90, Jacksonville, FL 33209
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