Yonsei Med J.  2010 May;51(3):469-471. 10.3349/ymj.2010.51.3.469.

Solitary Drain-Site Recurrence after Lumpectomy for Breast Cancer

• Kim H
• Kim EK
• Kwak JY
• Kim MJ
• Choi SH
• Park BW

• KMID: 1075006
• DOI: http://doi.org/10.3349/ymj.2010.51.3.469

Abstract

Locoregional recurrence after breast conservative surgery is not a rare event. However, a metastatic nodule solely at the surgical drain site seems to be extremely unusual. In this report, we present a patient who received a lumpectomy for breast cancer but a metastatic nodule developed at the drain site more than two years after her surgery.

Keyword

Breast cancer; drain-site recurrence; solitary nodule

MeSH Terms

Adult
Breast Neoplasms/*pathology/*surgery
Female
Humans
*Mastectomy, Segmental/adverse effects
Neoplasm Recurrence, Local/*diagnosis

Figure

• 

  Fig. 1 Ultrasonography of the nodule located on the right side of the chest wall. The nodule measures 1.8 cm in length and shows a well demarcated margin with heterogeneous internal echogenicity. The nodule grossly seems to be confined to the subcutaneous layer without evident invasion of the underlying muscles.

• 

  Fig. 2 CT findings of the nodule (arrows) located on Rt. chest wall. A nodule which shows similar attenuation with the muscle is noticed superficial to the right latissimus dorsi muscle. This nodule, irrelevant to breast tissue in location (the lateral margin of breast tissue marked with arrow head), measured to be 2 cm in the longest diameter.

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