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<title xml:lang="en">Breast cancer presenting as axillary abscess and unilateral lymphedema</title>
<author>
<name sortKey="Lakshmanan, R" sort="Lakshmanan, R" uniqKey="Lakshmanan R" first="R" last="Lakshmanan">R. Lakshmanan</name>
<affiliation>
<nlm:aff id="I1">Department of General Surgery, Alexandra Hospital, Singapore</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cheng, A" sort="Cheng, A" uniqKey="Cheng A" first="A" last="Cheng">A. Cheng</name>
<affiliation>
<nlm:aff id="I1">Department of General Surgery, Alexandra Hospital, Singapore</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmc">4284891</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4284891</idno>
<idno type="RBID">PMC:4284891</idno>
<idno type="doi">10.1186/bcr2288</idno>
<idno type="pmid">NONE</idno>
<date when="2009">2009</date>
<idno type="wicri:Area/Pmc/Corpus">001D48</idno>
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<title xml:lang="en" level="a" type="main">Breast cancer presenting as axillary abscess and unilateral lymphedema</title>
<author>
<name sortKey="Lakshmanan, R" sort="Lakshmanan, R" uniqKey="Lakshmanan R" first="R" last="Lakshmanan">R. Lakshmanan</name>
<affiliation>
<nlm:aff id="I1">Department of General Surgery, Alexandra Hospital, Singapore</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cheng, A" sort="Cheng, A" uniqKey="Cheng A" first="A" last="Cheng">A. Cheng</name>
<affiliation>
<nlm:aff id="I1">Department of General Surgery, Alexandra Hospital, Singapore</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Breast Cancer Research : BCR</title>
<idno type="ISSN">1465-5411</idno>
<idno type="eISSN">1465-542X</idno>
<imprint>
<date when="2009">2009</date>
</imprint>
</series>
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<textClass></textClass>
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<pmc article-type="abstract" xml:lang="en">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Breast Cancer Res</journal-id>
<journal-id journal-id-type="iso-abbrev">Breast Cancer Res</journal-id>
<journal-title-group>
<journal-title>Breast Cancer Research : BCR</journal-title>
</journal-title-group>
<issn pub-type="ppub">1465-5411</issn>
<issn pub-type="epub">1465-542X</issn>
<publisher>
<publisher-name>BioMed Central</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmc">4284891</article-id>
<article-id pub-id-type="publisher-id">bcr2288</article-id>
<article-id pub-id-type="doi">10.1186/bcr2288</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Poster Presentation</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Breast cancer presenting as axillary abscess and unilateral lymphedema</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" id="A1">
<name>
<surname>Lakshmanan</surname>
<given-names>R</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
</contrib>
<contrib contrib-type="author" id="A2">
<name>
<surname>Cheng</surname>
<given-names>A</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
</contrib>
</contrib-group>
<aff id="I1">
<label>1</label>
Department of General Surgery, Alexandra Hospital, Singapore</aff>
<pub-date pub-type="ppub">
<year>2009</year>
</pub-date>
<pub-date pub-type="epub">
<day>23</day>
<month>6</month>
<year>2009</year>
</pub-date>
<volume>11</volume>
<issue>Suppl 1</issue>
<supplement>
<named-content content-type="supplement-title">VIII Madrid Breast Cancer Conference: Latest Advances in Breast Cancer</named-content>
<named-content content-type="supplement-sponsor">The organisers would like to thank MSD for funding publication of this abstract supplement.</named-content>
<ext-link ext-link-type="uri" xlink:href="http://breast-cancer-research.com/supplements/notes/BCR-vol11-suppl1-info.pdf">http://breast-cancer-research.com/supplements/notes/BCR-vol11-suppl1-info.pdf</ext-link>
</supplement>
<fpage>P5</fpage>
<lpage>P5</lpage>
<permissions>
<copyright-statement>Copyright © 2009 BioMed Central Ltd.</copyright-statement>
<copyright-year>2009</copyright-year>
<copyright-holder>BioMed Central Ltd.</copyright-holder>
</permissions>
<self-uri xlink:href="http://breast-cancer-research.com/content/11/S1/P5"></self-uri>
<conference>
<conf-date>24-26 June 2009</conf-date>
<conf-name>VIII Madrid Breast Cancer Conference: Latest Advances in Breast Cancer</conf-name>
<conf-loc>Madrid, Spain</conf-loc>
</conference>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>This is a case report illustrating the initial presentation of breast cancer as an axillary abscess and ipsilateral arm lymphedema.</p>
</sec>
<sec>
<title>Case report</title>
<p>A 62-year-old Indian lady presented with the main complaints of left arm swelling and pain of 6 months duration. Clinical examination revealed gross right upper limb lymphedema; associated with tender axillary abscess with possibility of infected lymphadenopathy. Right breast examination revealed multifocal hard breast lumps with a retracted nipple. Ultrasound and mammography of the breasts showed an edematous right breast with several suspicious nodules. As the patient was septic and symptomatic from the axillary abscess, we performed an axillary drainage and axillary lymph node biopsy, which proved positive for adenocarcinoma. Ultrasound-guided core biopsy of the breast lesion was invasive ductal carcinoma. The estrogen and progesterone receptors were negative, c-erb2 was positive. Metastatic work-up showed that the patient had bilateral pulmonary metastases with bony metastases as well.</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusion</title>
<p>The present case highlights the fact that, despite a breast screen programme established in Singapore, there are patients presenting with locally advanced cancers. This case is particularly interesting as she presented as a surgical emergency for an axillary abscess.</p>
</sec>
</body>
</pmc>
</record>

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