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Exam questionKROK 1Medicine ยท 2008

While palpating mammary gland of a patient a doctor revealed an induration in form of a node in the inferior medial quadrant. Metastases may extend to the following lymph nodes:

Answer options

  1. Profound lateral cervical
  2. Parasternal
  3. Bronchopulmonary
  4. Superior diaphragmal
  5. Posterior mediastinal
Correct answer

Parasternal

Explanation

Metastases of the breast (mammary gland) cancer is either local or distant. Local metastases are usually to the lymphatic nodes of the breast base, axilla, subclavicular, parasternal nodes. Distant metastases are hematologic ones, 40-50% to the bones, lungs, and liver.

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