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A Journal on Surgery

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Chirurgia 2006 August;19(4):293-6

language: English

Axillary lymph nodes microcalcifications in metastatic breast cancer. Case report and literature review

Franceschini G. 1, Masetti R. 1, Costantini M. 2, Belli P. 2, Picciocchi A. 1

1 Department of Surgery Catholic University School of Medicine Policlinico A. Gemelli, Rome, Italy
2 Department of Radiology Catholic University School of Medicine Policlinico A. Gemelli, Rome Italy


Lymph nodes in the anterior part of the axilla are often visualized as secondary findings on the oblique view mammography. Sometimes the nodes have an abnormal appearance but it is difficult to differentiate between benign and malignant lymphadenopathy on the basis of mammographical findings alone. The presence of pleomorphic microcalcifications within axillary lymph nodes is rare and suggestive of metastatic disease. We found intranodal pleomorphic microcalcifications in a patient with metastases from primary breast carcinoma. The differential diagnosis of axillary lymph nodes calcifications, seen on mammography, is reviewed.

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