case_images: PMC11700575_01
case_images: FDG-PET/CT. (A) MIP section. (B) Horizontal section. (C) Sagittal section. The asterisk and arrow indicate the artificial breast implant and IMs, respectively. FDG accumulation was observed in the IMs. FDG: Fluorodeoxyglucose, PET: Positron Emission Tomography, CT: Computed Tomography, MIP: Maximum Intensity Projection, IM: Internal Mammary lymph node.
case_images: rjae829f1.jpg
case_images: PMC11700575_01_rjae829f1.jpg
case_images: f1
case_images: Fluorodeoxyglucose (FDG) positron emission tomography/computed tomography as health check up performed at another hospital 1 year prior to presentation revealed enlargement of the right IMs, suggesting recurrence of breast cancer (Fig. 1).
case_images: The surgery was performed in the left lateral recumbent position. A total of three incisions were made in the second, third, and fourth intercostal spaces. The dotted lines indicate the wounds.
case_images: rjae829f2.jpg
case_images: PMC11700575_01_rjae829f2.jpg
case_images: f2
case_images: The operative procedure was as follows; a total of three incisions were made in the second, third, and fourth intercostal spaces in the left lateral recumbent position (Fig. 2).
case_images: (A) The internal mammary artery and vein can be seen thorough the parietal pleura. (B) The parietal pleura were dissected along the internal mammary artery and vein. (C) En bloc resection of IM from the chest wall was performed. (D) The enlarged IM was widely resected. IM: Internal Mammary lymph node.
case_images: rjae829f3.jpg
case_images: PMC11700575_01_rjae829f3.jpg
case_images: f3
case_images: The internal mammary artery and vein can be seen thorough the parietal pleura (Fig. 3A). The parietal pleura were dissected along the internal mammary artery and vein (Fig. 3B). En bloc resection of IM from the chest wall was performed (Fig. 3C). The enlarged IM was widely resected (Fig. 3D).