{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:54Z","timestamp":1756339554230,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,3,19]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Ipsilateral axillary lymph node metastasis is common, while contralateral axillary lymph node metastasis (CAM) is uncommon. This report is of a patient that presented with a recurrence of left breast cancer and synchronous CAM, with a distant history of left breast conserving surgery and axillary dissection for invasive carcinoma. The CAM was confirmed following a non-routine lymphoscintigraphy and sentinel lymph node biopsy. This highlights the possibility of CAM representing as locoregional disease rather than advanced stage IV disease.<\/jats:p>","DOI":"10.1136\/bcr-2022-248741","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T12:48:12Z","timestamp":1648644492000},"page":"e248741","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Synchronous contralateral axillary lymph node metastasis in a recurrent breast cancer following previous axillary clearance"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6717-1504","authenticated-orcid":false,"given":"Ian Y","family":"Goh","sequence":"first","affiliation":[{"name":"Department of Surgery, Hervey Bay Hospital, Pialba, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilia L","family":"Dauway","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hervey Bay Hospital, Pialba, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082711012692000_15.3.e248741.1","DOI":"10.3322\/caac.21660"},{"doi-asserted-by":"publisher","key":"2025082711012692000_15.3.e248741.2","DOI":"10.1001\/jama.2017.11470"},{"unstructured":"Cancer Australia, S.H., NSW . Guidance for the management of early breast cancer: recommendations and practice points, 2020.","key":"2025082711012692000_15.3.e248741.3"},{"key":"2025082711012692000_15.3.e248741.4","first-page":"713","article-title":"[Contralateral axillary lymph node metastasis of cancer of the breast]","volume":"85","author":"Daoud","year":"1998","journal-title":"Bull Cancer"},{"key":"2025082711012692000_15.3.e248741.5","first-page":"178","article-title":"Significance of contralateral axillary metastases in carcinoma of the breast","volume":"12","author":"Devitt","year":"1969","journal-title":"Can J Surg"},{"key":"2025082711012692000_15.3.e248741.6","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.ijscr.2017.08.025","article-title":"Contralateral axillary lymph node metastasis in second primary breast cancer: case report and review of the literature","volume":"40","author":"Gingerich","year":"2017","journal-title":"Int J Surg Case Rep"},{"doi-asserted-by":"publisher","key":"2025082711012692000_15.3.e248741.7","DOI":"10.1016\/S1072-7515(00)00776-6"},{"key":"2025082711012692000_15.3.e248741.8","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1177\/1778.19258","article-title":"Management of contralateral axillary lymph node metastasis from breast cancer: a clinical dilemma","volume":"100","author":"Wang","year":"2014","journal-title":"Tumori"},{"key":"2025082711012692000_15.3.e248741.9","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/j.ejso.2011.01.024","article-title":"Characteristics of and therapeutic options for contralateral axillary lymph node metastasis in breast cancer","volume":"37","author":"Morcos","year":"2011","journal-title":"Eur J Surg Oncol"},{"doi-asserted-by":"publisher","key":"2025082711012692000_15.3.e248741.10","DOI":"10.1002\/jso.20056"},{"key":"2025082711012692000_15.3.e248741.11","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1245\/s10434-018-6486-6","article-title":"Eighth edition of the AJCC cancer staging manual: breast cancer","volume":"25","author":"Giuliano","year":"2018","journal-title":"Ann Surg Oncol"},{"key":"2025082711012692000_15.3.e248741.12","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.clbc.2017.10.019","article-title":"Isolated contralateral axillary lymph node involvement in breast cancer represents a locally advanced disease not distant metastases","volume":"18","author":"Chkheidze","year":"2018","journal-title":"Clin Breast Cancer"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-248741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:01:34Z","timestamp":1756317694000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-248741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3,30]]},"published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1136\/bcr-2022-248741"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-248741","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}