The uterus appeared slightly enlarged with multiple enhancing nodules measuring between 2 cm to 4 cm with a complex cystic lesion in the left adnexal region measuring 3.8 cm serum CA125 was normal. CT scan of the chest, abdomen and pelvis performed with contrast which showed a mass with central necrosis in the retroperitoneum on the left side measuring 2.9 cm. Tumor cells were positive for cytokeratin but negative for vimentin, CD3, CD20 and S100 consistent with a probable adenocarcinoma. A fine needle aspiration biopsy of the mass was performed, cytology was positive for malignancy, and stains were consistent with poorly differentiated carcinoma. A computed tomography (CT) scan with contrast of the neck demonstrated a large mass in the left neck measuring 5.9 cm. Upon presentation she denied any other symptoms. Ī 44-year-old African American para 0 female, presented with a large firm mass involving the left neck extending from just below the ear down to the left supraclavicular region measuring 5 to 6 cm in all dimensions. Supraclavicular lymph node metastasis is a rare presentation of primary fallopian tube cancer and there are only three cases reported in the literature. The signs and symptoms and of tubal cancer include: irregular or heavy postmenopausal vaginal bleeding, occasional abdominal or pelvic pain, feeling of pressure, vaginal discharge (which may be clear, white or tinged with blood), and or a pelvic mass or lump. Demographic distribution is similar to ovarian cancer, and the highest incidence was found in white, non-Hispanic women and women aged 60-79 years. The incidence of fallopian tube carcinoma is 3.72 per million annually in the United States. The patient was started on paclitaxel and carboplatin with good response.Ĭonclusion: Fallopian tube adenocarcinoma can initially present with an enlarged supraclavicular lymph node.įallopian tube cancer is very rare and accounts for only 1 to 2 percent of all gynecological cancers. The patient was not a good candidate for debulking surgery due to her retroperitoneal lymphadenopathy and large supraclavicular lymph node. Diagnosis of stage IV adenocarcinoma of fallopian tube was made. Robotic laparoscopic left salpingo-oophorectomy and right peri-aortic lymph node removal was performed for diagnostic purposes. Subsequently, a PET scan was performed and revealed increased uptake in the para-aortic and retroperitoneum lymph nodes a soft tissue mass was seen in the left hemi-pelvis. A fine needle aspiration biopsy was consistent with poorly differentiated adenocarcinoma, and a serum CA125 was normal. A CT scan was performed which was consistent with a 5.9 cm left-sided neck mass. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.īackground: Supraclavicular lymph node metastasis is a rare presentation of primary fallopian tube cancer and there have only been three cases reported in the literature.Ĭase: A 44-year-old female presented with a large firm mass involving the left side of her neck she denied any other symptoms. General swelling of lymph nodes throughout your body.*Corresponding author: Mohamed Satti, MD, Department of Obstetrics and Gynecology, Division of Gynecology Oncology, Hurley Medical Center/Michigan State University, 2158 Fox Hill Dr, Apt 10, Grand Blanc, Michigan 48439, USA, Tel: 40, E-mail: Obstet Gynecol Cases Rev, OGCR-3-094, (Volume 3, Issue 5), Case Report ISSN: 2377-9004 Received: Febru| Accepted: Aug| Published: September 01, 2016Ĭitation: Satti M, Abdelaziz A, Abhari P, Boike G (2016) Supraclavicular Lymph Node as a Presentation of Fallopian Tube Cancer.Runny nose, sore throat, fever and other indications of an upper respiratory infection.Swelling that may be the size of a pea or kidney bean, or even larger in the lymph nodesĭepending on the cause of your swollen lymph nodes, other signs and symptoms you might have include:.When your lymph nodes first swell, you might notice: Swollen lymph nodes are a sign that something is wrong somewhere in your body. Lymph nodes that frequently swell are in this area, as well as in your armpits and groin area. Many lymph nodes are located in your head and neck region. Your lymphatic system is a network of organs, vessels and lymph nodes situated throughout your body.
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