Question 4 · LEK · Breast cancer

A 25-year-old woman found a lump of 2 cm x 1 cm in size in the upper lateral quadrant while self-examining her right breast. The biopsy result was ductal carcinoma. Considering the lymphatic drainage through the Roth path, the lymph node metastases may be expected in:

A. first level of axillary lymph nodes.
B. second level of axillary lymph nodes.
C. third level of axillary lymph nodes.
D. first and second level of axillary lymph nodes.
E. second and third level of axillary lymph nodes.

Hint

Rotter's pathway runs through the pectoral muscles and the interpectoral nodes, so think which axillary level it bypasses.

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A 25-year-old woman found a lump of 2 cm x 1 cm in size in the upper lateral quadrant while self-examining her right breast. The biopsy result was ductal carcinoma. Considering the lymphatic drainage through the Roth path, the lymph node metastases may be expected in:

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