Atypical presentations of internal mammary chain involvement in breast cancer

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Published Sep 11, 2012
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Vol. 90 No. 8 (2012): Issue Aug 2012

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Mongi Maalej
Walid Gargouri
Dalenda Hentati
Taha Messai
Lotfi Kochbati
Ali Chebbi
Amor Saadi
Karima Mrad
Khaled Ben Romdhane

Abstract

Bachground: Breast cancer is the first cancer in women. Lymphatic involvement in breast cancer is common, especially in our patients because of the frequency of locally advanced forms. This contrast with a weak rate of diagnosed internal mammary chain invasion.
Methods: We present observations of patients presenting atypical forms of internal mammary chain involvement.
Aim: To clarify the atypical presentations of internal mammary chain involvement in breast cancer.
Results: The invasion of internal mammary chain is often underestimated. Indeed, this site of lymphatic spread is not accessible to the clinical exam and its radiological exploration is not systematic. Otherwise, different clinical, pathological and radiological presentations have to attract our attention to a potential
internal mammary chain invasion.
Conclusion: Our misrecognition of this site of spread and its different presentations can partly explain the lack of diagnosis.

Keywords:

Internal mammary chain, breast cancer, atypical presentations.

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