Department of Obstetrics and Gynecology, Toho University School of Medicine, Ohashi Medical Center, Tokyo, Japan.
Int J Clin Oncol. 2010 Jun;15(3):301-4. doi: 10.1007/s10147-010-0030-4. Epub 2010 Feb 26.
Supraclavicular lymph node metastasis is a rare presentation of primary fallopian tube carcinoma. A 76-year-old woman presented with an enlarged supraclavicular lymph node. A biopsy was performed, and its findings confirmed metastatic adenocarcinoma. Subsequent exploratory laparotomy revealed right fallopian tube carcinoma as the primary lesion; consequently, right salpingo-oophorectomy was performed. After adjuvant chemotherapy, she underwent a laparotomy with total abdominal hysterectomy, left salpingo-oophorectomy, pelvic and para-aortic lymph node sampling, and omentectomy. Supraclavicular lymph node metastasis was thought to be, although rarely, the first manifestation of primary fallopian tube carcinoma (PFTC). When supraclavicular lymph node metastasis of an unknown origin is encountered, the possibility of PFTC should be considered.
锁骨上淋巴结转移是原发性输卵管癌罕见的表现形式。一位 76 岁的女性因锁骨上淋巴结肿大就诊。进行了活检，其结果证实为转移性腺癌。随后的剖腹探查显示右侧输卵管癌为原发性病变；因此，进行了右侧输卵管卵巢切除术。辅助化疗后，她接受了剖腹手术，包括全子宫切除术、左侧输卵管卵巢切除术、盆腔和主动脉旁淋巴结取样以及网膜切除术。锁骨上淋巴结转移虽然罕见，但被认为是原发性输卵管癌（PFTC）的首发表现。当遇到不明原因的锁骨上淋巴结转移时，应考虑 PFTC 的可能性。
