A case of ovarian endometrioid adenosquamous carcinoma diagnosed by cytopuncture of metastatic axillary lymph node.
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<I>Background</I>: Ovarian carcinoma usually presents symptoms including abdominal pain, abdominal distension, and early satiety, and the most significant sign at the initial presentation is a pelvic mass. It is extremely rare for ovarian cavcinoma to have distant lymph node metastases in the axillary region. We described a case cytologically diagnosed as ovarian endometrioid adenosquamous carcinoma by cytopuncture of right axillary lymph node metastases.<BR><I>Case</I>: In a 48 year-old woman with right axillary lymphadenopathy as the chief complaint, MR showed two pelvic tumor masses, and serum CA 125 and CA 15-3 values were 217.2 U/m<I>l</I> and 15.5 U/m<I>l</I>, respectively, Exploratory laparotomy revealed primary ovarian carcinoma and intraperitoneal disseminations but no retroperitoneal lymph node metastasis. Histologic diagnosis of ovarian tumor revealed endometrioid adenosquamous carcinoma. The samples of axillary lymph node and of the ovarian tumor were considered to be cytohistologically identical.<BR><B><I>Conclusion</I>:</B> We think that axillary lymph node metastases might occur through the subcutaneous lymphatic networks into which the deep lymphatic channels of the abdominal wall or the lymphatic trunks of the diaphragm drained from the parietal peritoneal lesion as well as the subphrenic lesion. This case indicated the clinical importance of examining the superficial lymph node involvement in patients with ovarian carcinoma.
- 特定非営利活動法人 日本臨床細胞学会の論文
特定非営利活動法人 日本臨床細胞学会 | 論文
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