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A case of breast cancer lymph node metastasis misdiagnosed as cellulitis |
DU Wenxia1* MI Lingyu2* HU Junli3 MENG Qingbing3 BAI Wenwen4 GAO Hengbo3 |
1.Graduate School, Hebei Medical University, Hebei Province, Shijiazhuang 050000, China;
2.School of Basic Medicine, Hebei Medical University, Hebei Province, Shijiazhuang 050000, China;
3.Department of Emergency, the Second Hospital of Hebei Medical University, Hebei Province, Shijiazhuang 050011, China;
4.Department of Radiotherapy, the Fourth Hospital of Hebei Medical University, Hebei Province, Shijiazhuang 050011, China |
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Abstract In recent years, cellulitis has a higher incidence of disease and it is a common disease in the emergency department. This report in the patients with facial edema repeatedly as the main performance, the preliminary diagnosis of maxillofacial cellulitis, after the onset of the anti-infection treatment for a long time, the illness repeatedly, after multidisciplinary consultation, imaging examination and biopsy, eventually diagnosed with breast cancer lymph node metastasis, he was transferred to a local hospital for treatment. The early diagnosis of this patient was not timely, and related case reports were rare, so the experience should be fully learned, and the causes of facial edema should be recognized. For patients with axillary lymph node swelling, the possibility of breast cancer lymphatic metastasis should be considered, and early diagnosis should be made by puncture. For patients with delayed recovery, detailed medical history and comprehensive physical examination were conducted after admission to find abnormalities and broaden the diagnosis and treatment ideas. This article summarizes the relevant diagnosis and treatment experience, and reviews the references for clinicians’ reference.
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