title: Inguinal node metastasis as the initial presentation of primary fallopian tube cancer.
abstract: BACKGROUND
  An initial presentation of inguinal metastasis in primary fallopian tube cancer in an asymptomatic patient is uncommon. All previously described palpable lymphadenopathies in fallopian tube cancer have been associated with widely disseminated intra-abdominal disease.
  
  
  METHODS
  This is the first case of inguinal node metastasis from fallopian tube cancer in a 72-year-old asymptomatic patient with a previous hysterectomy with no evidence of intra-abdominal disease. The metastasis was detected in the contralateral inguinal area.
  
  
  CONCLUSIONS
  Fallopian tube cancer can present with inguinal metastasis, although this is an uncommon occurrence. A high index of suspicion must be maintained, especially in asymptomatic patients with negative imaging studies.
authors.affiliation: Department of Gynecology and Obstetrics, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Cho
authors.forename: Francis C
authors.initials: FC
authors.lastname: Grumbine
authors.forename: Teresa P
authors.initials: TP
authors.lastname: Díaz-Montes
mesh_terms: D000368:Aged; D005185:Fallopian Tube Neoplasms / Q000175:diagnosis* / Q000473:pathology*; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis