Abstract
IntroductionThe majority of ovarian cancer recurrences are in the abdomen. However, some cases relapse as isolated lymph node metastases, mostly in pelvic or para-aortic nodes. Peripheral isolated lymph node metastasis is rare.Case presentationA 69-year-old Japanese woman had recurrent ovarian cancer presenting with isolated right supraclavicular lymph node metastasis. After surgical resection and combination chemotherapy with carboplatin and paclitaxel, her right supraclavicular lymph node completely regressed.ConclusionsPeripheral isolated lymph nodes, including right supraclavicular lymph node, can recur without a macroscopic abdominal lesion. Clinicians should carefully examine peripheral lymph nodes for recurrence.
Highlights
The majority of ovarian cancer recurrences are in the abdomen
Some cases relapse as isolated lymph node metastases, mostly in pelvic or paraaortic nodes; peripheral isolated lymph node metastasis is rare
We report a case of recurrent ovarian cancer (OC) presenting with an isolated right supraclavicular lymph node (RSCLN) metastasis with no evidence of any other recurrent part after 52 months from initial surgery
Summary
The majority of ovarian cancer (OC) recurrences are within the abdomen. some cases relapse as isolated lymph node metastases, mostly in pelvic or paraaortic nodes; peripheral isolated lymph node metastasis is rare. Case presentation A 65-year-old post-menopausal Japanese woman (gravida 2, para 2) with abdominal distension had an ovarian tumor that was 15 cm in diameter. She had a medical history of vaginal hysterectomy because of a uterine. CT demonstrated RSCLN swollen to 15 mm in diameter Other examinations, such as mammography, chest and abdominal CT, gastroscopy, colonoscopy, and gallium-67 scintigraphy, revealed no abnormal findings. After three cycles of wTC, the serum CA125 level decreased to the normal range and the relapse lesion could not be palpated. Our patient underwent surgical resection because the relapse lesion was highly mobile and seemed to have no adhesion. The tumor cells were positive for CK7, CA125, and WT1 and negative for CK20 and CA19-9
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
