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Review
. 2018 Mar-Apr;32(2):385-389.
doi: 10.21873/invivo.11250.

Normal Size Ovary Carcinoma Syndrome with Inguinal Ovarian Cancer Lymph Node Metastases - A Case Report and Literature Review

Nicolae Bacalbasa  1 , Irina Balescu  2 , Cristian Balalau  1   3 , Olivia Ionescu  4 , Claudia Stoica  5
Affiliations
Review

Normal Size Ovary Carcinoma Syndrome with Inguinal Ovarian Cancer Lymph Node Metastases - A Case Report and Literature Review

Nicolae Bacalbasa et al. In Vivo. 2018 Mar-Apr.

Abstract

Inguinal lymph node mass as the first sign in patients with ovarian cancer represents a rare situation, with only few cases being reported so far. We present the case of a 46-year-old patient who presented for the apparition of bilateral inguinal tumoral masses in the absence of any other pathological signs. The biopsy revealed the presence of an adenocarcinoma with probable genital origin; however, neither the gynaecological examination nor the computed tomography demonstrated the presence of any suspect lesion. The patient was submitted to a positron emission computed tomography which revealed a high capitation in both adnexal areas as well as at the level of the inguinal lymph nodes. The patient was submitted to surgery, the frozen section of the adnexas confirming the ovarian origin of the tumor. Complete cytoreduction to no residual disease was successfully performed. At one-year follow-up the patient is free of any recurrent disease.

Keywords: Normal size ovarian cancer; inguinal lymph node metastases; lymphatic spread.

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Figures

Figure 1
Figure 1. Increased areas of fixation in the adnexal areas and in the areas of the inguinal lymph nodes.
Figure 2
Figure 2. Intraoperative aspect – removal of an inguinal tumoral mass.
Figure 3
Figure 3. The final aspect after inguinal lymph node dissection.
Figure 4
Figure 4. The final aspect of pelvic lymph node dissection
Figure 5
Figure 5. The final aspect – para-aortic lymph node dissection.
Figure 6
Figure 6. The specimen of inguinal lymph node dissection
See this image and copyright information in PMC

References

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    1. Bacalbasa N, Dima S, Balescu I, David L, Brasoveanu V, Popescu I. Results of primary cytoreductive surgery in advanced-stage epithelial ovarian cancer: A single-center experience. Anticancer Res. 2015;35:4099–4104. - PubMed

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