Occult breast carcinoma may rarely first manifest itself by axillaty lymph node metastasis. A female patient who presents with adenocarcinoma in an axillary lymph node as the sole clinical site of disease can be a diagnostic and therapeutic dilemma because of unknown natural progress. This was first described in 1907 by William Stewart Halsted who studied three such Patients with adenocarcinoma in axillary lymph nodes. We reported 5 cases of occult breast carcinoma with axillary metastases with review of literature.
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