Scholz H S, Lax S, Tamussino K F, Petru E
Department of Obstetrics and Gynecology, University of Graz, Graz, Auenbruggerplatz, 14, A-8036, Austria.
Gynecol Oncol. 1999 Dec;75(3):517-8. doi: 10.1006/gyno.1999.5592.
Inguinal metastasis is a rare manifestation of ovarian cancer. Autopsy studies have reported inguinal metastasis in 0-3% of patients with advanced disease.
We describe a 43-year-old patient with ovarian cancer limited to the adnexa who had an isolated metastasis in an enlarged inguinal lymph node. The patient underwent total abdominal hysterectomy, omentectomy, pelvic and paraaortic lymphadenectomy, and excision of the enlarged inguinal lymph node. All 78 pelvic and 40 paraaortic lymph nodes were negative.
This case demonstrates that early isolated distant lymph node metastasis, although rare, can occur in patients with ovarian cancer and may be a presenting symptom.
腹股沟转移是卵巢癌的一种罕见表现。尸检研究报告称，晚期疾病患者中腹股沟转移的发生率为0%至3%。
我们描述了一名43岁的卵巢癌患者，其疾病局限于附件，在一个肿大的腹股沟淋巴结出现孤立转移。该患者接受了全腹子宫切除术、大网膜切除术、盆腔和腹主动脉旁淋巴结清扫术以及肿大腹股沟淋巴结切除术。所有78个盆腔淋巴结和40个腹主动脉旁淋巴结均为阴性。
该病例表明，早期孤立性远处淋巴结转移虽然罕见，但可发生于卵巢癌患者，且可能是首发症状。
