title: Ovarian cancer, diagnosed with PET, with bilateral inguinal lymphadenopathy as primary presenting sign.
abstract: BACKGROUND
  Ovarian cancer groin lymph nodes metastases are rare. Only one case of disease spread isolated to the groins has been reported in the English literature. We report the case of a patient with bilateral inguinal lymphadenopathy due to tumor metastases and in which tumor origin was diagnosed using [(18)F]fluorodeoxyglucose positron emission tomography (PET).
  
  
  METHODS
  This is the first case of bilateral groin lymph nodes as sole site of metastases from ovarian cancer. Primary origin was identified using PET.
  
  
  CONCLUSIONS
  In rare cases, the ovaries can directly metastasis to the groin even in a relatively initial tumor growth phase. PET may play a role in the diagnosis of occult ovarian tumors.
authors.affiliation: Institute of Gynecology, Perinatology and Child Health, University La Sapienza di Roma, Viale Regina Elena 324, 00161 Rome, Italy. n.manci@unicampus.it
authors.forename: Natalina
authors.initials: N
authors.lastname: Manci
authors.forename: Filippo
authors.initials: F
authors.lastname: Bellati
authors.forename: Marialida
authors.initials: M
authors.lastname: Graziano
authors.forename: Milena
authors.initials: M
authors.lastname: Pernice
authors.forename: Ludovico
authors.initials: L
authors.lastname: Muzii
authors.forename: Roberto
authors.initials: R
authors.lastname: Angioli
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Benedetti Panici
mesh_terms: D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D007264:Inguinal Canal; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging*; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18