European Radiology

, Volume 13, Issue 9, pp 2128–2132

Breast MR imaging in a patient with unilateral axillary lymphadenopathy and unknown primary malignancy

  • Katrien Schelfout
  • E. Kersschot
  • M. Van Goethem
  • L. Thienpont
  • J. Van den Haute
  • A. Roelstraete
  • A. De Schepper


Bilateral invasive breast cancers were detected on MR imaging in a patient with left unilateral axillary lymphadenopathy and normal findings at physical examination, mammography, and ultrasound of both breasts. One spiculated and a second ill-defined enhancing lesion in the left breast as well as a superficial circumscribed lesion in the right breast were proven to be invasive malignancies. In patients with isolated axillary lymph nodes and occult primary malignancy, breast MRI can identify or exclude the breast as primary site, which proves the superiority and diagnostic benefit of this imaging method and also its contribution to the therapeutic approach.


Breast cancer Occult Axillary lymphadenopathy MRI 


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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • Katrien Schelfout
    • 1
    • 2
  • E. Kersschot
    • 2
  • M. Van Goethem
    • 1
  • L. Thienpont
    • 3
  • J. Van den Haute
    • 4
  • A. Roelstraete
    • 5
  • A. De Schepper
    • 1
  1. 1.Department of Radiology, University Hospital Antwerp, Wilrijkstraat 10, 2650 Wilrijk, BelgiumBelgium
  2. 2.Department of Radiology, O.L.V. Hospital, Moorselbaan 16, 9300 Aalst, BelgiumBelgium
  3. 3.Department of Pathology, O.L.V. Hospital, Moorselbaan 16, 9300 Aalst, BelgiumBelgium
  4. 4.Department of Gynaecology, O.L.V. Hospital, Moorselbaan 16, 9300 Aalst, BelgiumBelgium
  5. 5.Department of Radiotherapy and Oncology, O.L.V. Hospital, Moorselbaan 16, 9300 Aalst, BelgiumBelgium

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