Inguinal node metastasis as the initial presentation of primary fallopian tube cancer.
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.
Cho
Jennifer
J
Department of Gynecology and Obstetrics, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA.
Grumbine
Francis C
FC
Díaz-Montes
Teresa P
TP
D000368:Aged; D005185:Fallopian Tube Neoplasms / Q000175:diagnosis* / Q000473:pathology*; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis