Ovarian cancer initially presenting with isolated ipsilateral superficial inguinal lymph node metastasis: a case study and review of the literature
Identifieur interne : 002745 ( Main/Exploration ); précédent : 002744; suivant : 002746Ovarian cancer initially presenting with isolated ipsilateral superficial inguinal lymph node metastasis: a case study and review of the literature
Auteurs : Xiao-Jun Yang [République populaire de Chine] ; Fei-Yun Zheng [République populaire de Chine] ; Yun-Sheng Xu [République populaire de Chine] ; Rong-Ying Ou [République populaire de Chine]Source :
- Journal of Ovarian Research [ 1757-2215 ] ; 2014.
Abstract
Isolated superficial inguinal metastases without any extended intra-abdominal spread is a rare event in patients with ovarian carcinoma. Here we report an isolated superficial inguinal metastasis in a patient with primary ovarian cancer. A 54-year-old Chinese patient with primary ovarian cancer, had an isolated painless enlarged right groin swelling (3×2cm) as the only manifestation, preoperative pathology confirmed metastatic adenocarcinoma. Gynecologic examination, transvaginal ultrasonography of the abdominopelvic cavity revealed a 5-cm mixed, right adnexal mass. At exploratory laparotomy, there was little intra-abdominal tumor dissemination but 100 ml of faint yellow peritoneal fluid and a 5-cm right ovarian tumor with intact capsule. Staging operation was performed and postoperative pathology confirmed adenocarcinoma located within right ovarian, with no evidence of involvement of other sites. Then the patient received adjuvant chemotherapy for Stage IVB. Five years later, the patient is currently still alive without evidence of recurrent disease. This case indicate that ovarian carcinoma isn’t a disease localized only within the intra-peritoneal cavity, isolated superficial inguinal lymph node metastasis might occur in rare cases via potential lymphatic and (or) hematogenous route under special conditions. We propose the need to investigate the possible mechanisms, risk factors, metastatic patterns, the biology and natural history of such patients in a large-scale and multicenter analysis. Furthermore, efforts should be made for earlier and differential diagnosis and finally prolong survival time for such patients.
Url:
DOI: 10.1186/1757-2215-7-20
PubMed: 24506831
PubMed Central: 3926675
Affiliations:
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<front><div type="abstract" xml:lang="en"><p>Isolated superficial inguinal metastases without any extended intra-abdominal spread is a rare event in patients with ovarian carcinoma. Here we report an isolated superficial inguinal metastasis in a patient with primary ovarian cancer. A 54-year-old Chinese patient with primary ovarian cancer, had an isolated painless enlarged right groin swelling (3×2cm) as the only manifestation, preoperative pathology confirmed metastatic adenocarcinoma. Gynecologic examination, transvaginal ultrasonography of the abdominopelvic cavity revealed a 5-cm mixed, right adnexal mass. At exploratory laparotomy, there was little intra-abdominal tumor dissemination but 100 ml of faint yellow peritoneal fluid and a 5-cm right ovarian tumor with intact capsule. Staging operation was performed and postoperative pathology confirmed adenocarcinoma located within right ovarian, with no evidence of involvement of other sites. Then the patient received adjuvant chemotherapy for Stage IVB. Five years later, the patient is currently still alive without evidence of recurrent disease. This case indicate that ovarian carcinoma isn’t a disease localized only within the intra-peritoneal cavity, isolated superficial inguinal lymph node metastasis might occur in rare cases via potential lymphatic and (or) hematogenous route under special conditions. We propose the need to investigate the possible mechanisms, risk factors, metastatic patterns, the biology and natural history of such patients in a large-scale and multicenter analysis. Furthermore, efforts should be made for earlier and differential diagnosis and finally prolong survival time for such patients.</p>
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<affiliations><list><country><li>République populaire de Chine</li>
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<tree><country name="République populaire de Chine"><noRegion><name sortKey="Yang, Xiao Jun" sort="Yang, Xiao Jun" uniqKey="Yang X" first="Xiao-Jun" last="Yang">Xiao-Jun Yang</name>
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<name sortKey="Ou, Rong Ying" sort="Ou, Rong Ying" uniqKey="Ou R" first="Rong-Ying" last="Ou">Rong-Ying Ou</name>
<name sortKey="Xu, Yun Sheng" sort="Xu, Yun Sheng" uniqKey="Xu Y" first="Yun-Sheng" last="Xu">Yun-Sheng Xu</name>
<name sortKey="Yang, Xiao Jun" sort="Yang, Xiao Jun" uniqKey="Yang X" first="Xiao-Jun" last="Yang">Xiao-Jun Yang</name>
<name sortKey="Zheng, Fei Yun" sort="Zheng, Fei Yun" uniqKey="Zheng F" first="Fei-Yun" last="Zheng">Fei-Yun Zheng</name>
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