Evidence map›Paper›PMID 40656412›Full record

ArticleCureus2025

Isolated Axillary Lymphadenopathy Presenting as Carcinoma of Unknown Primary in a Female Patient: A Diagnostic and Therapeutic Challenge.

Chandana M, Santhoshkumar Bandegudda, Sunitha S

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Chandana MGeneral Surgery, Ramaiah University of Applied Sciences, Bangalore, IND.
Santhoshkumar BandeguddaSurgical Oncology, Ramaiah University of Applied Sciences, Bangalore, IND.
Sunitha SPathology, Ramaiah University of Applied Sciences, Bangalore, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carcinoma of unknown primary (CUP) is a distinct and uncommon clinical entity characterized by metastatic disease without an identifiable primary tumor, despite thorough investigation. Isolated axillary lymphadenopathy as the sole manifestation is rare and diagnostically challenging, particularly in younger women. The patient was a 47-year-old woman with painless right axillary swelling with no breast or systemic lesions. Fine-needle aspiration cytology (FNAC) suggested metastatic carcinoma. PET-CT showed a hypermetabolic right axillary mass without evidence of disease elsewhere. Excisional biopsy confirmed poorly differentiated carcinoma; immunohistochemistry (IHC) was positive for PanCK, CK7, TRPS1, and PAX8 with a high Ki-67 index (70%). A multidisciplinary decision led to axillary lymph node dissection, which revealed no residual metastatic disease. The follow-up PET-CT was normal. This case highlights the importance of a thorough diagnostic approach. IHC, advanced imaging, and multidisciplinary input are critical for diagnosis and management. CUP localized to lymph nodes may have a more favorable prognosis.

Indexed as

axillary lymph node dissection (alnd)carcinoma of unknown primary (cup)immunohistochemistry (ihc)magnetic resonance imaging (mri)positron emission tomography/computed tomography (pet-ct)

Identifiers

PMID40656412
PMCPMC12255210

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.