Aydin Cetin, Unalp Haluk R, Baloğlu Ali, Inci Ayşe Gül, Yiğit Seyran, Yavuzcan Ali
Gynecology and Obstetric Clinic, Ataturk Training and Research Hospital, Izmir, Turkey.
Arch Gynecol Obstet. 2009 Feb;279(2):203-7. doi: 10.1007/s00404-008-0669-5. Epub 2008 May 10.
The symptoms and findings of ovarian cancer are parallel with the degree of intra-abdominal expansion of the tumor. Metastases in the early stage occur by peritoneal fluid's tracking via the circulatory system. Renal and cerebral metastases of ovarian cancer have been previously reported, but axillary lymph node metastasis is quite rare. Axillary lymph node metastasis usually occurs in the advanced stage.
We present a 47-year-old female who had applied adjuvant chemotherapy following cyto-reductive surgery because of stage 3C ovarian cancer. Axillary lymph node metastasis was detected in the postoperative 32 months.
As tumors in axillary lymph nodes are found in patients with an ovarian carcinoma, the treatment is also so important too. Metastasis to the breast be differentiated accurately from primary breast cancer, because prognosis and treatment differ significantly. Accurate diagnosis of these metastases may allow more appropriate therapy, such as chemotherapy, and prevent the patient from an unnecessary major breast surgery.
卵巢癌的症状和体征与肿瘤在腹腔内的扩展程度相关。早期转移是通过循环系统追踪腹膜液发生的。卵巢癌的肾转移和脑转移此前已有报道,但腋窝淋巴结转移相当罕见。腋窝淋巴结转移通常发生在晚期。
我们报告一名47岁女性,因3C期卵巢癌在肿瘤细胞减灭术后接受辅助化疗。术后32个月检测到腋窝淋巴结转移。
对于卵巢癌患者发现腋窝淋巴结有肿瘤,治疗也同样重要。需准确区分转移至乳腺的情况与原发性乳腺癌,因为预后和治疗有显著差异。准确诊断这些转移灶可使治疗更恰当,如化疗,并避免患者接受不必要的乳腺大手术。