Waraich N, Mitchell J, Holliday H, Iftikhar S Y
Surgical Research Fellow, Derbyshire Royal Infirmary, London Road, Derby, UK.
Gynecol Oncol. 2006 Feb;100(2):430-2. doi: 10.1016/j.ygyno.2005.09.035. Epub 2005 Oct 27.
Distant metastasis from primary epithelial ovarian carcinoma is commonly found as nodal and intraperitoneal spread, spread via haematogenous routes or transcoelomic spread. Ovarian cancer presents in different ways, but common presentations include abdominal pain, distention or ascites due to metastatic involvement of peritoneal cavity. Most tumour present at advanced stage and distant metastases to common and uncommon sites are found in patients who have undergone treatment for primary ovarian cancer. Subcutaneous metastatic nodules from primary ovarian cancer are rarely found in advanced disease. We describe a case of asymptomatic ovarian carcinoma presenting as a chest wall nodule.
An unusual case of primary ovarian carcinoma presenting as asymptomatic chest wall subcutaneous nodules that subsequently were diagnosed as metastatic lesions.
An unusual case of ovarian carcinoma where the patient was totally asymptomatic and referred with two tiny subcutaneous nodules. Therefore, lumps of recent onset, although asymptomatic, should either have fine needle aspiration cytology or excision biopsy.
原发性上皮性卵巢癌的远处转移常见为淋巴结和腹腔内播散、血行播散途径或经体腔播散。卵巢癌有不同的表现方式，但常见表现包括因腹膜腔转移受累导致的腹痛、腹胀或腹水。大多数肿瘤在晚期出现，在接受原发性卵巢癌治疗的患者中可发现转移至常见和不常见部位的远处转移。原发性卵巢癌的皮下转移结节在晚期疾病中很少见。我们描述了一例表现为胸壁结节的无症状卵巢癌病例。
一例不寻常的原发性卵巢癌病例，表现为无症状的胸壁皮下结节，随后被诊断为转移性病变。
这是一例不寻常的卵巢癌病例，患者完全无症状，因两个微小的皮下结节前来就诊。因此，近期出现的肿块，尽管无症状，也应进行细针穿刺细胞学检查或切除活检。
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