Left inguinal adenopathy two years after cytoreductive surgery: A rare sign of recurrence

Aibek E. Mirrakhimov, Nwabundo Nwankwo, Aram Barbaryan, Raya Saba, Alaa M. Ali, Shawn Kwatra, Nasir Hussain, Mourad H. Senussi, Erwin Velasquez Kho, Alan D. Gilman

Research output: Contribution to journalArticle

Abstract

Ovarian cancer is the second most common gynecological cancer in the Western world. Despite a good response to treatment, most patients with ovarian cancer will relapse. The abdominal, pelvic, and retroperitoneal cavities represent the most common sites of ovarian cancer recurrence, with inguinal lymph node involvement rarely reported. Herein we report the case of a 48-year-old Caucasian female who underwent successful surgical and chemotherapy treatment for ovarian epithelial cancer. Two years later, the patient was found to have painless left inguinal adenopathy, which was subsequently found to be metastatic ovarian cancer. CA-125 levels were elevated despite the lack of any foci of metabolically active tissue on imaging. Inguinal lymph node involvement is a rare sign of ovarian cancer. Despite that, it is essential to consider ovarian cancer in the differential diagnosis for inguinal lymphadenopathy in a female patient.

Original languageEnglish (US)
Pages (from-to)31-35
Number of pages5
JournalCase Reports in Oncology
Volume6
Issue number1
DOIs
Publication statusPublished - Jan 1 2013
Externally publishedYes

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Keywords

  • Inguinal lymph node metastasis
  • Ovarian cancer
  • Recurrence

ASJC Scopus subject areas

  • Oncology

Cite this

Mirrakhimov, A. E., Nwankwo, N., Barbaryan, A., Saba, R., Ali, A. M., Kwatra, S., ... Gilman, A. D. (2013). Left inguinal adenopathy two years after cytoreductive surgery: A rare sign of recurrence. Case Reports in Oncology, 6(1), 31-35. https://doi.org/10.1159/000346615