伴有腹股沟淋巴结转移的卵巢癌：病例系列及文献综述
Ovarian cancer with metastatic inguinal lymphadenopathy: A case series and literature review.
作者信息
Metwally Islam H, Zuhdy Mohammad, Hassan Amr, Alghandour Reham, Megahed Nirmeen
机构信息
Surgical Oncology Unit, Oncology Center Mansoura University (OCMU), Egypt.
Surgical Oncology Unit, Oncology Center Mansoura University (OCMU), Egypt.
出版信息
J Egypt Natl Canc Inst. 2017 Jun;29(2):109-114. doi: 10.1016/j.jnci.2017.01.003. Epub 2017 Mar 20.
BACKGROUND
Ovarian cancer is the 4th commonest cancer among Egyptian women. It can spread through 3 different lymphatic pathways to para-aortic/paracaval lymph nodes, to pelvic lymph nodes and only occasionally through the round ligament of the uterus to the inguinal nodes. These rare cases are staged IVb on FIGO system.
PRESENTATION
We present a series of 4 cases of ovarian cancer metastasizing to inguinal nodes. The literature review revealed only 17 published similar cases. Management controversies as well as prognosis are discussed in our study.
CONCLUSION
Inguinal metastasis from ovarian cancer seems more frequent than previously thought. Examination of inguinal region should be mandatory in all cases diagnosed with ovarian cancer.
背景
卵巢癌是埃及女性中第四常见的癌症。它可通过3种不同的淋巴途径扩散至腹主动脉旁/腔静脉旁淋巴结、盆腔淋巴结，仅偶尔通过子宫圆韧带扩散至腹股沟淋巴结。这些罕见病例在国际妇产科联合会（FIGO）系统中被分期为IVb期。
病例展示
我们报告了一系列4例卵巢癌转移至腹股沟淋巴结的病例。文献回顾显示仅有17例已发表的类似病例。我们的研究讨论了治疗争议以及预后情况。
结论
卵巢癌的腹股沟转移似乎比之前认为的更为常见。对于所有诊断为卵巢癌的病例，均应常规检查腹股沟区域。
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