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Abstract
The internal mammary lymphatics are the second most common site of regional metastasis
in breast carcinoma. However, because of their retrosternal location, they rarely
become clinically evident. This report describes a patient with a parasternal breast
carcinoma metastasis arising from internal mammary lymphatics. The metastasis caused
symptoms for more than 3 years before the primary tumor was discovered. The pathologic
elements underlying this unusual presentation along with the treatment options and
the surgical management with extended mastectomy are discussed in detail.
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Article info
Publication history
Accepted:
April 30,
1992
Identification
Copyright
© 1993 Published by Elsevier Inc.
