腹股沟淋巴结转移：输卵管癌的一种不寻常表现。
Inguinal lymph node metastasis: an unusual presentation of fallopian tube carcinoma.
作者信息
Winter-Roach B A, Tjalma W A, Nordin A J, Naik R, de Barros Lopes A, Monaghan J M
机构信息
Northern Gynaecological Oncology Centre, Queen Elizabeth Hospital, Sheriff Hill, Gateshead Health NHS Trust, Tyne and Wear NE9 6SX, United Kingdom.
出版信息
Gynecol Oncol. 2001 May;81(2):324-5. doi: 10.1006/gyno.2001.6141.
OBJECTIVES
Inguinal metastasis is a hitherto unreported presenting feature of fallopian tube adenocarcinoma.
CASE
We describe a case of a 69-year-old patient whose first manifestation of fallopian tube adenocarcinoma was an enlarged inguinal lymph node. This was excised and confirmed to be metastatic adenocarcinoma. She was investigated by diagnostic laparoscopy and subsequently underwent laparotomy with total abdominal hysterectomy, omentectomy, and pelvic and para-aortic lymph node dissection. All but two of the lymph nodes extirpated were negative.
CONCLUSIONS
Fallopian tube adenocarcinoma may rarely present with metastatic inguinal lymphadenopathy.
目的
腹股沟转移是输卵管腺癌一种迄今未被报道的表现特征。
病例
我们描述了一例69岁患者，其输卵管腺癌的首发表现为腹股沟淋巴结肿大。该淋巴结被切除并确诊为转移性腺癌。通过诊断性腹腔镜检查对她进行了评估，随后接受了剖腹手术，包括全腹子宫切除术、大网膜切除术以及盆腔和腹主动脉旁淋巴结清扫术。切除的淋巴结中除两个外其余均为阴性。
结论
输卵管腺癌可能很少表现为转移性腹股沟淋巴结病。
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