title: An unusual case of recurrent endometrial cancer presented with isolated cervical lymph node metastasis.
abstract: Endometrial cancer (EC) is the most common malignancy of the female genital tract. Lymph node involvement is one of the major prognostic factors. Therefore, pelvic and paraaortic lymph nodes dissection is a part of the surgical management of these patients. Isolated peripheral lymph node metastasis has not been previously reported as a finding of recurrence in EC. We report a 67-year-old woman with recurrent EC presented with an isolated cervical lymph node metastasis (ICLM). Following the combination chemotherapy of doxorubicin, cisplatin and cyclophosphamide, her cervical lymph node was completely regressed. To our knowledge, this is the first case of recurrent EC presented with ICLM. We suggest that for women with EC who had isolated peripheral lymphadenopathies, peripheral lymph node metastasis should be considered as the finding of recurrence in patient with EC.
authors.affiliation: Department of Medical Oncology, Dr. Lütfi Kirdar Kartal Education and Training Hospital, Istanbul, Turkey. ahmetknower@yahoo.com
authors.forename: Ahmet
authors.initials: A
authors.lastname: Bilici
authors.forename: Ebru
authors.initials: E
authors.lastname: Karci
authors.forename: Eda
authors.initials: E
authors.lastname: Altun
authors.forename: Sevgiye Kacar
authors.initials: SK
authors.lastname: Ozkara
authors.forename: Kazim
authors.initials: K
authors.lastname: Uygun
authors.forename: Gorkem
authors.initials: G
authors.lastname: Aksu
authors.forename: Bala Basak Oven
authors.initials: BB
authors.lastname: Ustaalioglu
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D018269:Carcinoma, Endometrioid / Q000175:diagnosis* / Q000188:drug therapy; D003131:Combined Modality Therapy; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000628:therapy; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008207:Lymphatic Metastasis / Q000175:diagnosis / Q000473:pathology; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000628:therapy; D049268:Positron-Emission Tomography
chemical_list: D019788:Fluorodeoxyglucose F18