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Indian J Nucl Med. 2019 Jul-Sep;34(3):244-246. doi: 10.4103/ijnm.IJNM_62_19.

Axillary Lymph Node Metastasis in Gallbladder Carcinoma with Incidentally Detected Coexistence of Aberrant Right Subclavian Artery with Left-Sided Superior Vena Cava.

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Department of Nuclear Medicine and PET-CT, Tata Medical Center, Kolkata, West Bengal, India.
Department of Nuclear Medicine Center, Combined Military Hospital, Dhaka, Bangladesh.
Department of Medical Oncology Tata Medical Center, Kolkata, West Bengal, India.


The sequential development of port site recurrence, followed by recurrence in the axillary lymph node in gallbladder carcinoma is very infrequently reported in the literature. The representing 18F-fluorodeoxyglucose positron emission tomography-computed tomography image shows a metastatic right axillary lymph node in a case of gallbladder cancer developed following surgical removal of port site recurrence and six cycles of chemotherapy. The image also shows coexistence of two incidentally detected vascular anomalies, i.e., aberrant right subclavian artery and left-sided superior vena cava. Coexistence of both the vascular anomalies is rare among the general population and have their own clinical implications as described.


Aberrant right subclavian artery; axillary lymph node metastasis; gallbladder carcinoma; left-sided superior vena cava; port site recurrence

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