腹股沟淋巴结转移作为原发性输卵管癌的首发表现。
Inguinal node metastasis as the initial presentation of primary fallopian tube cancer.
作者信息
Cho Jennifer, Grumbine Francis C, Díaz-Montes Teresa P
机构信息
Department of Gynecology and Obstetrics, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA.
出版信息
Gynecol Oncol. 2006 Nov;103(2):759-62. doi: 10.1016/j.ygyno.2006.06.023. Epub 2006 Jul 28.
BACKGROUND
An initial presentation of inguinal metastasis in primary fallopian tube cancer in an asymptomatic patient is uncommon. All previously described palpable lymphadenopathies in fallopian tube cancer have been associated with widely disseminated intra-abdominal disease.
CASE
This is the first case of inguinal node metastasis from fallopian tube cancer in a 72-year-old asymptomatic patient with a previous hysterectomy with no evidence of intra-abdominal disease. The metastasis was detected in the contralateral inguinal area.
CONCLUSION
Fallopian tube cancer can present with inguinal metastasis, although this is an uncommon occurrence. A high index of suspicion must be maintained, especially in asymptomatic patients with negative imaging studies.
背景
原发性输卵管癌在无症状患者中最初表现为腹股沟转移并不常见。先前描述的所有输卵管癌可触及的淋巴结病均与广泛播散的腹腔内疾病相关。
病例
这是首例72岁无症状输卵管癌患者发生腹股沟淋巴结转移的病例，该患者既往行子宫切除术，无腹腔内疾病证据。转移灶在对侧腹股沟区被发现。
结论
输卵管癌可出现腹股沟转移，尽管这种情况并不常见。必须保持高度怀疑指数，尤其是在影像学检查阴性的无症状患者中。
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