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以腋窝淋巴结转移为表现的卵巢癌:1例经细针穿刺确诊的病例及文献简要回顾

Ovarian carcinoma presenting with axillary lymph node metastasis: a case diagnosed by fine-needle aspiration and brief review of the literature.

作者信息

Skagias Lazaros, Ntinis Apostolos, Vasou Olympia, Kondi-Pafiti Agathi, Politi Ekaterini

机构信息

Department of Cytopathology, Aretaieion University Hospital, Athens, Greece.

出版信息

Diagn Cytopathol. 2008 Dec;36(12):891-3. doi: 10.1002/dc.20945.

DOI:10.1002/dc.20945
PMID:18925569
Abstract

Ovarian carcinoma is a lethal disease and a main cause of morbidity and mortality among gynecological malignancies. Metastatic ovarian carcinoma to the axillary node is an exceptionally infrequent pathological entity. We report a case of ovarian carcinoma, which presented with axillary lymph node metastasis and review the previously documented cases. A 63-year-old woman with a medical history of stage IIIb ovarian carcinoma was admitted to our hospital complaining of a mass in her right axilla. Fine-needle aspiration (FNA) biopsy was performed. Cytological examination revealed a poorly differentiated carcinoma with immunocytochemical features consistent with metastatic ovarian carcinoma. This case illustrates a rare presentation of ovarian carcinoma and underlines the need to consider it in the differential diagnosis of axillary lesions.

摘要

卵巢癌是一种致命疾病,也是妇科恶性肿瘤发病和死亡的主要原因。卵巢癌转移至腋窝淋巴结是一种极为罕见的病理情况。我们报告一例出现腋窝淋巴结转移的卵巢癌病例,并回顾既往记录的病例。一名有IIIb期卵巢癌病史的63岁女性因右侧腋窝肿物入院。进行了细针穿刺(FNA)活检。细胞学检查显示为低分化癌,免疫细胞化学特征符合转移性卵巢癌。该病例说明了卵巢癌的一种罕见表现,并强调在腋窝病变的鉴别诊断中需要考虑到这种情况。

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