Brief clinical report| Volume 113, ISSUE 5, P587-589, May 1993

Breast carcinoma presenting as chondrosternal thickening: A long-standing masquerade

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      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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