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Most common lymphatic spread of carcinoma breast is ipsilateral axiilary lymph nodes, internal mammary lymph nodes and supraclavicular lymph nodes. Inguinal lymph nodes involvement in carcinoma breast is quite uncommon. Surgery and irradiation for breast cancer may interfere with conventional pathways of spread, leading to bizarre patterns of dissemination through lymphatics or through hematogenous route. Other possible reasons could be occurrence of primary breast cancer in accessory breast tissue retained in the vulva following involution of milk line. We describe a case of right breast carcinoma who developed right ingquinql lymph node mets, brain mets after one month of neoadjuvant chemotherapy and mastectomy.

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