174.9 AND 196.3
174.9
metastatic breast cancer
Axillary dissection is utilized to stage breast cancer in order to determine the necessity of further treatment based on cancer cell spread. Additionally, axillary dissection includes removal and pathological examination of axillary lymph nodes.
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Axillary nodes
Caused for enlargement of axillary lymph nodes: - Infections in the whole-body will often cause the lymph nodes to be enlarged. This is due to perfectly normal immune-responses. - Infections in the glands of the breasts or on the skin of the chest. - Infections in the fingers, hands, and arms. - Breast cancer can spread to the axillary lymph nodes - Although not the most common place to be seen, some lymphomas can arise or spread these lymph nodes.
Breast cancer most commonly metastasises first to lymph nodes in the axilla of the same side as the affected breast. In more advanced disease, the cancer commonly metastasises to lymph nodes in other regions, to bone, to the liver, and/or to the lungs, and later possibly also to the contralateral breast and to other organs. When there is no evident lymph node metastasis or distant metastasis, the sentinel node may be examined to confirm absence of axillary lymph node metastasis. The lymph nodes in the axilla drain fluid (lymph) from the breast by interconnecting lymph vessels, and the "sentinel node" is the first node to receive lymph from the particular tumour. If there is no tumour in the sentinel node (and no signs of metastasis to other sites), breast cancer has a very good chance of cure after treatment.
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Some of the lymph nodes associated with the breast are: *Internal mammary *Pectoral *Subscapular *Central axillary *Lateral *Intraclavicular
A metastatic deposit is the spread of cancer from the primary tumor. This spread is done via blood or lymph fluid.
If you have breast cancer and you just had your lymph nodes removed, a hospital stay is very important.
The significance of enlarged lymph nodes connected to breast cancer is that when these lymph nodes get enlarged by either cancerous cells or other problems, it may be felt at breast examination.
The first station for the spread of breast cancer is the lymph nodes in the axilla then to the lymph nodes in the neck. If a patient has a biopsy it is not uncommon to have a test on the lymphnodes there.