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July-2018 Volume 16 Issue 1

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Case Report

Ovarian cancer initially presenting with supra‑clavicular lymph node metastasis: A case report

  • Authors:
    • Lu Hong
    • Hui Qiu
    • Zijie Mei
    • Hui Zhang
    • Shaopin Liu
    • Hong Cao
  • View Affiliations / Copyright

    Affiliations: Department of Oncology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P.R. China, Department of Oncology, Ezhou Central Hospital, Ezhou, Hubei 436000, P.R. China, Hubei Cancer Clinical Study Center and Hubei Key Laboratory of Tumor Biological Behavior, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P.R. China, Department of Pathology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P.R. China
  • Pages: 505-510
    |
    Published online on: May 8, 2018
       https://doi.org/10.3892/ol.2018.8664
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Abstract

Supra‑clavicular lymph node metastasis from ovarian cancer is rare. The present study reports the unique case of a 43‑years‑old patient who initially presented with left supra‑clavicular lymph node metastasis, and was nulliparous. According to fine‑needle aspiration cytology of the metastatic left supra‑clavicular lymph nodes and 18F‑fluorodeoxyglucose‑positron emission tomography/computed tomography (PET/CT) scan, the patient was diagnosed with poorly differentiated serous carcinoma of ovarian cancer, stage IV. Following two cycles of platinum‑based chemotherapy, PET/CT showed that the patient had achieved a complete response. Next, cytoreductive surgery was performed and the postoperative histological findings showed that the patient had achieved a complete pathological response. According to NCCN Clinical Practice Guidelines in Oncology, the patient was stage IV and four cycles of chemotherapy were provided, with no recurrence observed during 3 years of follow‑up. This case indicates that patients who initially present with distant metastatic lymph nodes and are nulliparous might have a better prognosis and avoid overtreatment.
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Copy and paste a formatted citation
Spandidos Publications style
Hong L, Qiu H, Mei Z, Zhang H, Liu S and Cao H: Ovarian cancer initially presenting with supra‑clavicular lymph node metastasis: A case report. Oncol Lett 16: 505-510, 2018.
APA
Hong, L., Qiu, H., Mei, Z., Zhang, H., Liu, S., & Cao, H. (2018). Ovarian cancer initially presenting with supra‑clavicular lymph node metastasis: A case report. Oncology Letters, 16, 505-510. https://doi.org/10.3892/ol.2018.8664
MLA
Hong, L., Qiu, H., Mei, Z., Zhang, H., Liu, S., Cao, H."Ovarian cancer initially presenting with supra‑clavicular lymph node metastasis: A case report". Oncology Letters 16.1 (2018): 505-510.
Chicago
Hong, L., Qiu, H., Mei, Z., Zhang, H., Liu, S., Cao, H."Ovarian cancer initially presenting with supra‑clavicular lymph node metastasis: A case report". Oncology Letters 16, no. 1 (2018): 505-510. https://doi.org/10.3892/ol.2018.8664
Copy and paste a formatted citation
x
Spandidos Publications style
Hong L, Qiu H, Mei Z, Zhang H, Liu S and Cao H: Ovarian cancer initially presenting with supra‑clavicular lymph node metastasis: A case report. Oncol Lett 16: 505-510, 2018.
APA
Hong, L., Qiu, H., Mei, Z., Zhang, H., Liu, S., & Cao, H. (2018). Ovarian cancer initially presenting with supra‑clavicular lymph node metastasis: A case report. Oncology Letters, 16, 505-510. https://doi.org/10.3892/ol.2018.8664
MLA
Hong, L., Qiu, H., Mei, Z., Zhang, H., Liu, S., Cao, H."Ovarian cancer initially presenting with supra‑clavicular lymph node metastasis: A case report". Oncology Letters 16.1 (2018): 505-510.
Chicago
Hong, L., Qiu, H., Mei, Z., Zhang, H., Liu, S., Cao, H."Ovarian cancer initially presenting with supra‑clavicular lymph node metastasis: A case report". Oncology Letters 16, no. 1 (2018): 505-510. https://doi.org/10.3892/ol.2018.8664
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