Recurrent ovarian cancer presenting in the right supraclavicular lymph node with isolated metastasis: a case report
1 Department of Obstetrics and Gynecology, Osaka Minami Medical Center, 2-1, Kidohigashi-machi, Kawachinagano, Osaka, 586-8521, Japan
2 Department of Obstetrics and Gynecology, Osaka Medical College, 2-7, Daigaku-machi, Takatsuki, Osaka, 569-8686, Japan
Journal of Medical Case Reports 2012, 6:176 doi:10.1186/1752-1947-6-176Published: 2 July 2012
The 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.
A 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.
Peripheral isolated lymph nodes, including right supraclavicular lymph node, can recur without a macroscopic abdominal lesion. Clinicians should carefully examine peripheral lymph nodes for recurrence.