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Breast Cancer  (Expert Forum)
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Internal mammary lymph nodes
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.

Internal mammary lymph nodes

by Tochter, Mar 22, 2005 12:00AM
My mother has had a mastectomy following the recurrence of breast cancer (she had lymph nodes removed at that point, 13 years ago). They have found two enlarged internal mammary lymph nodes this time. What are the chances that they are cancerous, and what would that mean if they were?

by CCF-RN,MSN-rf, Mar 23, 2005 12:00AM
Dear Tochter:  Lymphatic tissue from the breast can drain into both the axillary (underarm) lymph nodes as well as the internal mammary lymph nodes.  Routine surgical staging for invasive breast cancer usually involves a sampling of the axillary lymph nodes, but internal mammary lymph node sampling is less frequently done.  A CT scan may be helpful for evaluating internal mammary lymph nodes and the size of the lymph nodes, along with the rest of the clinical information may help to determine the likelihood that they are involved.  A variety of factors including the size and location of the recurrence, whether there is any distant recurrence and the hormone receptor status of the recurrence will influence magagement.  Consultation with both a medical oncologist and a radiation oncologist may be appropriate.
Member Comments (1)

by moanes, May 24, 2008 07:47AM
A related discussion, mastectomy or quadrantectomy was started.

by LynnieBee, Oct 19, 2008 05:27PM
A related discussion, Internal Mammary Lymph Node was started.
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