Cover Image

Metastatic Adenocarcinoma of right supraclavicular lymph nodes from primary ovarian cancer: a rare presentation

Background: Lymph-node metastases to the right supraclavicular lymph nodes (RSCLNs) in ovarian malignancies are very rare occurrences. The majority of RSCLN metastases normally originate from primary neck, lung, and esophagus malignancies. A literature review revealed that only 2 cases of ovarian me...

Full description

Saved in:
Bibliographic Details
Main Authors: Baharudin, Azmaniza, Abdul Hamid, Habibah, Ngan, Kah Wai, Abdul Rahim, Ruwaida, Yahaya, Zainab
Format: Article
Language:English
Published: Mary Ann Liebert 2019
Online Access:http://psasir.upm.edu.my/id/eprint/81341/1/Metastatic%20Adenocarcinoma%20of%20right%20supraclavicular%20lymph%20nodes%20from%20primary%20ovarian%20cancer.pdf
http://psasir.upm.edu.my/id/eprint/81341/
https://www.liebertpub.com/doi/abs/10.1089/gyn.2018.0088
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.upm.eprints.81341
record_format eprints
spelling my.upm.eprints.813412021-06-14T22:46:21Z http://psasir.upm.edu.my/id/eprint/81341/ Metastatic Adenocarcinoma of right supraclavicular lymph nodes from primary ovarian cancer: a rare presentation Baharudin, Azmaniza Abdul Hamid, Habibah Ngan, Kah Wai Abdul Rahim, Ruwaida Yahaya, Zainab Background: Lymph-node metastases to the right supraclavicular lymph nodes (RSCLNs) in ovarian malignancies are very rare occurrences. The majority of RSCLN metastases normally originate from primary neck, lung, and esophagus malignancies. A literature review revealed that only 2 cases of ovarian metastases to the RSCLNs have been reported. Case: A 28-year-old, single nulliparous woman presented to a local tertiary hospital with a 2-month history of progressive abdominal distension. This was associated with a loss of appetite and a marked weight loss. She had no significant medical illnesses or family history of malignancies. Examination revealed a nontender palpable lymph node in the right supraclavicular region, measuring 4 × 3 cm. No other lymph nodes were palpable at the left supraclavicular or cervical areas. There was also gross ascites. Other examination results were unremarkable. A computed tomography (CT) scan showed an RSCLN mass and complex solid-cystic masses arising from the pelvis. Fine-needle aspiration (FNA) biopsy of the RSCLN was performed, revealing a metastatic adenocarcinoma with features compatible with serous adenocarcinoma of the ovary. Results: This patient was treated successfully with neoadjuvant chemotherapy that was followed by a total abdominal hysterectomy, and bilateral salpingo-oophorectomy, omentectomy, and appendectomy. She was alive with no recurrences at a 1-year regular follow-up. Conclusions: The rarity of RSCLN metastases in ovarian cancer might incline clinicians to neglect the presence of RSCLN enlargement during examinations. Thus, clinicians should examine both left and right SCLNs thoroughly in women suspected of having gynecologic malignancies. Mary Ann Liebert 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/81341/1/Metastatic%20Adenocarcinoma%20of%20right%20supraclavicular%20lymph%20nodes%20from%20primary%20ovarian%20cancer.pdf Baharudin, Azmaniza and Abdul Hamid, Habibah and Ngan, Kah Wai and Abdul Rahim, Ruwaida and Yahaya, Zainab (2019) Metastatic Adenocarcinoma of right supraclavicular lymph nodes from primary ovarian cancer: a rare presentation. Journal of Gynecologic Surgery, 35 (3). pp. 190-193. ISSN 1042-4067 https://www.liebertpub.com/doi/abs/10.1089/gyn.2018.0088 10.1089/gyn.2018.0088
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background: Lymph-node metastases to the right supraclavicular lymph nodes (RSCLNs) in ovarian malignancies are very rare occurrences. The majority of RSCLN metastases normally originate from primary neck, lung, and esophagus malignancies. A literature review revealed that only 2 cases of ovarian metastases to the RSCLNs have been reported. Case: A 28-year-old, single nulliparous woman presented to a local tertiary hospital with a 2-month history of progressive abdominal distension. This was associated with a loss of appetite and a marked weight loss. She had no significant medical illnesses or family history of malignancies. Examination revealed a nontender palpable lymph node in the right supraclavicular region, measuring 4 × 3 cm. No other lymph nodes were palpable at the left supraclavicular or cervical areas. There was also gross ascites. Other examination results were unremarkable. A computed tomography (CT) scan showed an RSCLN mass and complex solid-cystic masses arising from the pelvis. Fine-needle aspiration (FNA) biopsy of the RSCLN was performed, revealing a metastatic adenocarcinoma with features compatible with serous adenocarcinoma of the ovary. Results: This patient was treated successfully with neoadjuvant chemotherapy that was followed by a total abdominal hysterectomy, and bilateral salpingo-oophorectomy, omentectomy, and appendectomy. She was alive with no recurrences at a 1-year regular follow-up. Conclusions: The rarity of RSCLN metastases in ovarian cancer might incline clinicians to neglect the presence of RSCLN enlargement during examinations. Thus, clinicians should examine both left and right SCLNs thoroughly in women suspected of having gynecologic malignancies.
format Article
author Baharudin, Azmaniza
Abdul Hamid, Habibah
Ngan, Kah Wai
Abdul Rahim, Ruwaida
Yahaya, Zainab
spellingShingle Baharudin, Azmaniza
Abdul Hamid, Habibah
Ngan, Kah Wai
Abdul Rahim, Ruwaida
Yahaya, Zainab
Metastatic Adenocarcinoma of right supraclavicular lymph nodes from primary ovarian cancer: a rare presentation
author_facet Baharudin, Azmaniza
Abdul Hamid, Habibah
Ngan, Kah Wai
Abdul Rahim, Ruwaida
Yahaya, Zainab
author_sort Baharudin, Azmaniza
title Metastatic Adenocarcinoma of right supraclavicular lymph nodes from primary ovarian cancer: a rare presentation
title_short Metastatic Adenocarcinoma of right supraclavicular lymph nodes from primary ovarian cancer: a rare presentation
title_full Metastatic Adenocarcinoma of right supraclavicular lymph nodes from primary ovarian cancer: a rare presentation
title_fullStr Metastatic Adenocarcinoma of right supraclavicular lymph nodes from primary ovarian cancer: a rare presentation
title_full_unstemmed Metastatic Adenocarcinoma of right supraclavicular lymph nodes from primary ovarian cancer: a rare presentation
title_sort metastatic adenocarcinoma of right supraclavicular lymph nodes from primary ovarian cancer: a rare presentation
publisher Mary Ann Liebert
publishDate 2019
url http://psasir.upm.edu.my/id/eprint/81341/1/Metastatic%20Adenocarcinoma%20of%20right%20supraclavicular%20lymph%20nodes%20from%20primary%20ovarian%20cancer.pdf
http://psasir.upm.edu.my/id/eprint/81341/
https://www.liebertpub.com/doi/abs/10.1089/gyn.2018.0088
_version_ 1703962159190376448
score 13.211869

Similar Items