title: Supraclavicular lymph node metastasis as the initial presentation of primary fallopian tube carcinoma.
abstract: Supraclavicular lymph node metastasis is a rare presentation of primary fallopian tube carcinoma. A 76-year-old woman presented with an enlarged supraclavicular lymph node. A biopsy was performed, and its findings confirmed metastatic adenocarcinoma. Subsequent exploratory laparotomy revealed right fallopian tube carcinoma as the primary lesion; consequently, right salpingo-oophorectomy was performed. After adjuvant chemotherapy, she underwent a laparotomy with total abdominal hysterectomy, left salpingo-oophorectomy, pelvic and para-aortic lymph node sampling, and omentectomy. Supraclavicular lymph node metastasis was thought to be, although rarely, the first manifestation of primary fallopian tube carcinoma (PFTC). When supraclavicular lymph node metastasis of an unknown origin is encountered, the possibility of PFTC should be considered.
authors.affiliation: Department of Obstetrics and Gynecology, Toho University School of Medicine, Ohashi Medical Center, Tokyo, Japan. drnobusaku@yahoo.co.jp
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Sakurai
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Tateoka
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Fukaya
authors.forename: Tadashi
authors.initials: T
authors.lastname: Terada
authors.forename: Kaneyuki
authors.initials: K
authors.lastname: Kubushiro
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000628:therapy; D000368:Aged; D001706:Biopsy; D017024:Chemotherapy, Adjuvant; D005185:Fallopian Tube Neoplasms / Q000473:pathology* / Q000628:therapy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D020360:Neoadjuvant Therapy; D010052:Ovariectomy; D049268:Positron-Emission Tomography; D016896:Treatment Outcome