Reviewer’s report
Title: 
Axillary metastasis from occult breast cancer and synchronous
contralateral breast cancer initially suspected to be cancer with contralateral
axillary metastasis: A case report
Version: 
1 
Date: 
25 Sep 2021
Reviewer: 
Ibrahim A.
Reviewer's report:
Dear Respectable Editor 
Thank you to give me the opportunity to review the case report entitled; Axillary
metastasis from occult breast cancer and synchronous contralateral breast cancer
initially suspected to be cancer with contralateral axillary metastasis: A case
report
The authors present a 63-year-old woman presented with palpable right axillary
metastasis, and a tiny contralateral breast cancer detected by breast MRI. No
lesion was found in the ipsilateral right breast and contralateral left axillary
region. After right axillary dissection and left breast conserving surgery were
performed. The final diagnosis was occult breast cancer that presented with
axillary lymph node metastasis and early-stage synchronous contralateral breast
cancer, based on clinical evidence and postoperative pathologic results. 
The authors concluded that for accurate diagnosis of axillary metastasis without
detectable ipsilateral breast cancer, multifaceted diagnostic approach considering
clinical, radiological, and pathological evidence is required.
The authors present an interesting case report in well-organized way. 
With clear title, structured abstract, clear presentation of their case report with
clear images.
They used a clear conclusion reflecting their results with relevant references.
The case report is scientifically valid and can be accepted for publication without
any suggested changes from my side.
Regards 
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Is the study design appropriate to answer the research question (including the use
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