Interpectoral Nodes as the Initial Site of Recurrence in Breast Cancer
Carcinoma, Ductal, Breast
Carcinoma, Intraductal, Noninfiltrating
Neoplasm Recurrence, Local
Recurrence at the interpectoral nodes can be the initial site of surgical failure. These nodes may represent the site of primary drainage in a percentage of patients. The sentinel node identification technique, therefore, should diminish the number of patients affected by recurrence at this site. In patients with a palpable mass in the infraclavicular location, however, a high index of suspicion should be maintained. Workup should include additional breast imaging and needle biopsy prior to operation.