ULTRASOUND EXAMINATION IN THE COMPREHENSIVE DIAGNOSTIC IMAGING OF PARASTERNAL LYMPH NODE METASTASES IN A PATIENT WITH BREAST CANCER: A CASE REPORT
Background. The parasternal lymphatic collector is an important pathway of the lymph drainage from the breast in breast cancer patients. Evaluation of parasternal lymph nodes is not available during physical examination. To date, no algorithm for diagnostic imaging of the parasternal lymphatic pathw...
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Tomsk National Research Medical Center of the Russian Academy of Sciences
2021-03-01
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doaj-344ac3dc1fac4749ba1b75fee49287e42021-07-28T21:02:08ZrusTomsk National Research Medical Center of the Russian Academy of SciencesSibirskij Onkologičeskij Žurnal1814-48612312-31682021-03-0120114915410.21294/1814-4861-2021-20-1-149-154835ULTRASOUND EXAMINATION IN THE COMPREHENSIVE DIAGNOSTIC IMAGING OF PARASTERNAL LYMPH NODE METASTASES IN A PATIENT WITH BREAST CANCER: A CASE REPORTV. M. Snitkin0A. V. Samoukin1V. N. Sholokhov2G. T. Sinyukova3S. N. Berdnikov4M. S. Makhotina5R. K. Valiev6I. Z. Pulatova7N.N. Blokhin National Medical Research Center of Oncology оf the Ministry of Health of the Russian FederationN.N. Blokhin National Medical Research Center of Oncology оf the Ministry of Health of the Russian FederationN.N. Blokhin National Medical Research Center of Oncology оf the Ministry of Health of the Russian FederationN.N. Blokhin National Medical Research Center of Oncology оf the Ministry of Health of the Russian FederationN.N. Blokhin National Medical Research Center of Oncology оf the Ministry of Health of the Russian FederationN.N. Blokhin National Medical Research Center of Oncology оf the Ministry of Health of the Russian FederationN.N. Blokhin National Medical Research Center of Oncology оf the Ministry of Health of the Russian FederationN.N. Blokhin National Medical Research Center of Oncology оf the Ministry of Health of the Russian FederationBackground. The parasternal lymphatic collector is an important pathway of the lymph drainage from the breast in breast cancer patients. Evaluation of parasternal lymph nodes is not available during physical examination. To date, no algorithm for diagnostic imaging of the parasternal lymphatic pathway has been developed. The presence of metastases in parasternal lymph nodes upstages the breast cancer patient to a minimum of clinical stage III disease.Case description. We present the case of breast cancer progression in a 40-year-old woman. The patient received treatment for triple-negative stage IIA breast cancer (Т2N0M0) in 2018. In August, 2019, 18-FDG PET /CT images revealed a solitary metastasis in the parasternal lymph node. Ultrasound images also showed the same lymph node assessed by PET -CT and the additional parasternal lymph node metastasis. A fine-needle aspiration biopsy of both lymph nodes confirmed the specific involvement of the parasternal lymph nodes.Conclusion. Ultrasound scans are used to assess the axillary, subclavian and supraclavicular lymphatic collectors, but there is little evidence in the literature on the use of ultrasound in the assessment of parasternal lymph nodes. Our clinical case shows the feasibility of using ultrasound in assessing the status of the parasternal of lymph nodes, as well as the feasibility of performing fine-needle aspiration biopsy by ultrasound navigation.https://www.siboncoj.ru/jour/article/view/1702ultrasound examonationbreast cancerparasternal lymph nodesparasternal regionpuncture biopsyinternal thoracic lymph nodes |
collection |
DOAJ |
language |
Russian |
format |
Article |
sources |
DOAJ |
author |
V. M. Snitkin A. V. Samoukin V. N. Sholokhov G. T. Sinyukova S. N. Berdnikov M. S. Makhotina R. K. Valiev I. Z. Pulatova |
spellingShingle |
V. M. Snitkin A. V. Samoukin V. N. Sholokhov G. T. Sinyukova S. N. Berdnikov M. S. Makhotina R. K. Valiev I. Z. Pulatova ULTRASOUND EXAMINATION IN THE COMPREHENSIVE DIAGNOSTIC IMAGING OF PARASTERNAL LYMPH NODE METASTASES IN A PATIENT WITH BREAST CANCER: A CASE REPORT Sibirskij Onkologičeskij Žurnal ultrasound examonation breast cancer parasternal lymph nodes parasternal region puncture biopsy internal thoracic lymph nodes |
author_facet |
V. M. Snitkin A. V. Samoukin V. N. Sholokhov G. T. Sinyukova S. N. Berdnikov M. S. Makhotina R. K. Valiev I. Z. Pulatova |
author_sort |
V. M. Snitkin |
title |
ULTRASOUND EXAMINATION IN THE COMPREHENSIVE DIAGNOSTIC IMAGING OF PARASTERNAL LYMPH NODE METASTASES IN A PATIENT WITH BREAST CANCER: A CASE REPORT |
title_short |
ULTRASOUND EXAMINATION IN THE COMPREHENSIVE DIAGNOSTIC IMAGING OF PARASTERNAL LYMPH NODE METASTASES IN A PATIENT WITH BREAST CANCER: A CASE REPORT |
title_full |
ULTRASOUND EXAMINATION IN THE COMPREHENSIVE DIAGNOSTIC IMAGING OF PARASTERNAL LYMPH NODE METASTASES IN A PATIENT WITH BREAST CANCER: A CASE REPORT |
title_fullStr |
ULTRASOUND EXAMINATION IN THE COMPREHENSIVE DIAGNOSTIC IMAGING OF PARASTERNAL LYMPH NODE METASTASES IN A PATIENT WITH BREAST CANCER: A CASE REPORT |
title_full_unstemmed |
ULTRASOUND EXAMINATION IN THE COMPREHENSIVE DIAGNOSTIC IMAGING OF PARASTERNAL LYMPH NODE METASTASES IN A PATIENT WITH BREAST CANCER: A CASE REPORT |
title_sort |
ultrasound examination in the comprehensive diagnostic imaging of parasternal lymph node metastases in a patient with breast cancer: a case report |
publisher |
Tomsk National Research Medical Center of the Russian Academy of Sciences |
series |
Sibirskij Onkologičeskij Žurnal |
issn |
1814-4861 2312-3168 |
publishDate |
2021-03-01 |
description |
Background. The parasternal lymphatic collector is an important pathway of the lymph drainage from the breast in breast cancer patients. Evaluation of parasternal lymph nodes is not available during physical examination. To date, no algorithm for diagnostic imaging of the parasternal lymphatic pathway has been developed. The presence of metastases in parasternal lymph nodes upstages the breast cancer patient to a minimum of clinical stage III disease.Case description. We present the case of breast cancer progression in a 40-year-old woman. The patient received treatment for triple-negative stage IIA breast cancer (Т2N0M0) in 2018. In August, 2019, 18-FDG PET /CT images revealed a solitary metastasis in the parasternal lymph node. Ultrasound images also showed the same lymph node assessed by PET -CT and the additional parasternal lymph node metastasis. A fine-needle aspiration biopsy of both lymph nodes confirmed the specific involvement of the parasternal lymph nodes.Conclusion. Ultrasound scans are used to assess the axillary, subclavian and supraclavicular lymphatic collectors, but there is little evidence in the literature on the use of ultrasound in the assessment of parasternal lymph nodes. Our clinical case shows the feasibility of using ultrasound in assessing the status of the parasternal of lymph nodes, as well as the feasibility of performing fine-needle aspiration biopsy by ultrasound navigation. |
topic |
ultrasound examonation breast cancer parasternal lymph nodes parasternal region puncture biopsy internal thoracic lymph nodes |
url |
https://www.siboncoj.ru/jour/article/view/1702 |
work_keys_str_mv |
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