Lymph node first involved in Ca breast is /are:
(A)Axillary
(B)Internal mammary
(C)Supraclavicular
(D)Contralateral axillary
Lymphatic Spread in Carcinoma of Breast Occurs through:
• Subareolar Sappey's lymphatic plexus
• Cutaneous lymphatics
• Inflammatory lymphatics  Lymphatic drainage of the breast is predominantly through axillary (75%).
Posterior 1/3 rd of the breast are more likely to drain to the internal mammary nodes 1 ,
Involvement of supradaviular nodes & of any contralateral lymph nodes represents advanced disease
BC
CA
BC
AB