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The regional metastasis of breast cancer
The regional metastasis of breast cancer
Usually during surgery for breast cancer surgeon can simultaneously remove the lymph nodes in the armpit area. However, metastases can occur in other groups of lymph nodes:
in some of the remaining axillary lymph nodes,
supraclavicular lymph nodes,
subclavian lymph nodes,
lymph nodes inside the chest (intrathoracic lymph nodes),
very rarely in axillary lymph nodes of the opposite side.
In 40% of recurrent breast cancer occurs in the lymph nodes. If you or a doctor found a lump in these areas are round, it may be of regional metastases. Sometimes enlarged lymph nodes are detected during mammography. The regional metastases are rarely normally affect only nodes in the armpit area. This occurs in less than 5% of cases. Most of these metastases occur in lymph nodes and in the breast tissue or chest wall.
In the case of enlarged lymph nodes are usually held to biopsy and histological examination.
The treatment of regional metastases
In the case of detection of regional lymph node metastases in the next, the treatment is to conduct both local therapy and systemic. At the same time carried out a full course of systemic therapy, which includes chemotherapy and target therapy (Herceptin), hormonal treatment (anti-estrogenic drugs), as well as antiangiogeneznuyu therapy.
