Learning objectives
To describe and illustrate what characterizes adenopathies.
To understand what should be evaluated in axillary lymph nodes of patients with HIV,
when breast cancer is suspected.
Background
As the incidence of HIV patients continues to increase and long-term survival improves,
more patients are being admitted for routine screening of breast cancer,
which becomes a diagnostic challenge given the particularities of HIV infection.
Therefore,
for the radiologist,
it becomes increasingly important to understand the subtleties in axillary lymph node analysis in these patients.Knowledge of the normal anatomy of this region is essential for the detection and correct interpretation of the tests,
as well as the possible differential diagnoses and the best methods to...
Findings and procedure details
We select three peculiar cases,
of patients with HIV infection,
from our radiology department.The first was a patient with multiple lymph nodes that the only feature suspected is the thick cortex,
that suggested being typical reactive adenopathies.
The second case,
it was about one patient with breast cancer diagnosed and with multiple lymph nodes but some of them had more atypical features that were suspected.
At last case we reported one patient with previous breast cancer,
already treated.
Later one axillary lymph node grow up...
Conclusion
For radiologists,
the knowledge of what should be valued in axillary lymph nodes,
in patients with HIV,
is essential to obtain a more accurate diagnosis,
and avoid invasive studies and unnecessary costs.
Personal information
C.
Ferreira,
M.
Cruz,
P.
Oliveira,
M.
Gonçalo,
F.
Caseiro Alves;
Department of Imagiology,Hospital Centre and University of Coimbra,
Portugal
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