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

  • Published online on: May 8, 2018     https://doi.org/10.3892/ol.2018.8664
  • Pages: 505-510
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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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July-2018
Volume 16 Issue 1

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Copy and paste a formatted citation
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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