Axillary node metastasis from primary ovarian carcinoma

Metastasization and distinction from mammary carcinoma is of great clinical importance because of different treatment modalities. Here, we discuss a case of stage IIIC ovarian serous carcinoma, presenting with bilateral axillary nodes metastasis after 25 months interval of its initial presentation....

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Main Authors: Trupti S Patel, Chintan Shah, Majal C Shah, Manoj J Shah
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Cytology
Subjects:
Online Access:http://www.jcytol.org/article.asp?issn=0970-9371;year=2014;volume=31;issue=4;spage=202;epage=204;aulast=Patel
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author Trupti S Patel
Chintan Shah
Majal C Shah
Manoj J Shah
author_facet Trupti S Patel
Chintan Shah
Majal C Shah
Manoj J Shah
author_sort Trupti S Patel
collection DOAJ
description Metastasization and distinction from mammary carcinoma is of great clinical importance because of different treatment modalities. Here, we discuss a case of stage IIIC ovarian serous carcinoma, presenting with bilateral axillary nodes metastasis after 25 months interval of its initial presentation. Increased serum CA-125 level caused clinical suspicion. Computed tomography scan of abdomen and pelvis showed no residual disease or any abdominal lymphadenopathy. Mammography of both breast were normal. Bilateral axillary nodes were noted. Guided fine needle aspiration cytology (FNAC) and biopsy of ovarian carcinoma to axillary node is a rare event. Its recogn done. Cytomorphology revealed poorly differentiated carcinoma, compatible to that of primary ovarian tumor. Thus, metastatic carcinoma to axillary node from ovary was confirmed. This case illustrates a rare metastatic presentation of ovarian carcinoma and unequivocal role of FNAC to provide rapid diagnosis and preferred to be first line diagnostic procedure.
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spelling doaj.art-07eac4014894434b96cd1c542255bbfe2022-12-22T02:28:16ZengWolters Kluwer Medknow PublicationsJournal of Cytology0970-93712014-01-0131420220410.4103/0970-9371.151132Axillary node metastasis from primary ovarian carcinomaTrupti S PatelChintan ShahMajal C ShahManoj J ShahMetastasization and distinction from mammary carcinoma is of great clinical importance because of different treatment modalities. Here, we discuss a case of stage IIIC ovarian serous carcinoma, presenting with bilateral axillary nodes metastasis after 25 months interval of its initial presentation. Increased serum CA-125 level caused clinical suspicion. Computed tomography scan of abdomen and pelvis showed no residual disease or any abdominal lymphadenopathy. Mammography of both breast were normal. Bilateral axillary nodes were noted. Guided fine needle aspiration cytology (FNAC) and biopsy of ovarian carcinoma to axillary node is a rare event. Its recogn done. Cytomorphology revealed poorly differentiated carcinoma, compatible to that of primary ovarian tumor. Thus, metastatic carcinoma to axillary node from ovary was confirmed. This case illustrates a rare metastatic presentation of ovarian carcinoma and unequivocal role of FNAC to provide rapid diagnosis and preferred to be first line diagnostic procedure.http://www.jcytol.org/article.asp?issn=0970-9371;year=2014;volume=31;issue=4;spage=202;epage=204;aulast=PatelAxillary nodefine needle aspiration cytologymetastasisserous carcinoma
spellingShingle Trupti S Patel
Chintan Shah
Majal C Shah
Manoj J Shah
Axillary node metastasis from primary ovarian carcinoma
Journal of Cytology
Axillary node
fine needle aspiration cytology
metastasis
serous carcinoma
title Axillary node metastasis from primary ovarian carcinoma
title_full Axillary node metastasis from primary ovarian carcinoma
title_fullStr Axillary node metastasis from primary ovarian carcinoma
title_full_unstemmed Axillary node metastasis from primary ovarian carcinoma
title_short Axillary node metastasis from primary ovarian carcinoma
title_sort axillary node metastasis from primary ovarian carcinoma
topic Axillary node
fine needle aspiration cytology
metastasis
serous carcinoma
url http://www.jcytol.org/article.asp?issn=0970-9371;year=2014;volume=31;issue=4;spage=202;epage=204;aulast=Patel
work_keys_str_mv AT truptispatel axillarynodemetastasisfromprimaryovariancarcinoma
AT chintanshah axillarynodemetastasisfromprimaryovariancarcinoma
AT majalcshah axillarynodemetastasisfromprimaryovariancarcinoma
AT manojjshah axillarynodemetastasisfromprimaryovariancarcinoma