Unexpected encounters: The surprising link between ovarian cancer and axillary lymphadenopathy
Ovarian tumors represent a significant health concern for women, often leading to morbidity and mortality. We present the case of a 46-year-old patient without notable personal or family history of tumors, who initially presented with bilateral axillary lymphadenopathy. Given the clinical presentati...
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| Language: | English |
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Elsevier
2025-04-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324004965 |
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| author | Marina Balbino Federica Masino Manuela Montatore Francesca Anna Carpagnano Giuseppe Guglielmi |
| author_facet | Marina Balbino Federica Masino Manuela Montatore Francesca Anna Carpagnano Giuseppe Guglielmi |
| author_sort | Marina Balbino |
| collection | DOAJ |
| description | Ovarian tumors represent a significant health concern for women, often leading to morbidity and mortality. We present the case of a 46-year-old patient without notable personal or family history of tumors, who initially presented with bilateral axillary lymphadenopathy. Given the clinical presentation and suspicion of a Cancer of Unknown Primary (CUP) syndrome, the patient underwent imaging examination, such as ultrasound of the axilla, mammography, and breast magnetic resonance imaging. The axillary tru-cut biopsy histological examination revealed ovarian metastasis. The total body computed tomography (CT) scan and pelvic MRI confirmed the presence of a left ovarian tumor. The patient underwent surgical intervention with excision of the tumor and axillary lymph node dissection. Histological analysis confirmed the diagnosis of high-grade serous ovarian carcinoma. The patient was initiated on adjuvant chemotherapy and a long-term follow-up was scheduled. This case underscores the importance of comprehensive diagnostic evaluation in patients presenting with suspicious symptoms, such as axillary lymphadenopathy, to ensure timely and appropriate management of ovarian carcinoma and related conditions. |
| format | Article |
| id | doaj-art-d8f0f788922947c0b5c814f07cf6cc2b |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-d8f0f788922947c0b5c814f07cf6cc2b2025-02-02T05:27:01ZengElsevierRadiology Case Reports1930-04332025-04-0120421482152Unexpected encounters: The surprising link between ovarian cancer and axillary lymphadenopathyMarina Balbino0Federica Masino1Manuela Montatore2Francesca Anna Carpagnano3Giuseppe Guglielmi4Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, 71121, Foggia (FG), ItalyDepartment of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, 71121, Foggia (FG), ItalyDepartment of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, 71121, Foggia (FG), ItalyBreast Unit, “Dimiccoli” Hospital, Viale Ippocrate 15, 70051, Barletta (BT), ItalyDepartment of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, 71121, Foggia (FG), Italy; Radiology Unit, “Dimiccoli” Hospital, Viale Ippocrate 15, 70051, Barletta (BT), Italy; Radiology Unit, “IRCCS Casa Sollievo della Sofferenza” Hospital, Viale Cappuccini 1, 71013 San Giovanni Rotondo (FG), Italy; Corresponding author.Ovarian tumors represent a significant health concern for women, often leading to morbidity and mortality. We present the case of a 46-year-old patient without notable personal or family history of tumors, who initially presented with bilateral axillary lymphadenopathy. Given the clinical presentation and suspicion of a Cancer of Unknown Primary (CUP) syndrome, the patient underwent imaging examination, such as ultrasound of the axilla, mammography, and breast magnetic resonance imaging. The axillary tru-cut biopsy histological examination revealed ovarian metastasis. The total body computed tomography (CT) scan and pelvic MRI confirmed the presence of a left ovarian tumor. The patient underwent surgical intervention with excision of the tumor and axillary lymph node dissection. Histological analysis confirmed the diagnosis of high-grade serous ovarian carcinoma. The patient was initiated on adjuvant chemotherapy and a long-term follow-up was scheduled. This case underscores the importance of comprehensive diagnostic evaluation in patients presenting with suspicious symptoms, such as axillary lymphadenopathy, to ensure timely and appropriate management of ovarian carcinoma and related conditions.http://www.sciencedirect.com/science/article/pii/S1930043324004965Ovarian carcinomaCancer of unknown primary syndromeCUP syndromeDiagnostic imagingAxillary lymph nodesBreast cancer |
| spellingShingle | Marina Balbino Federica Masino Manuela Montatore Francesca Anna Carpagnano Giuseppe Guglielmi Unexpected encounters: The surprising link between ovarian cancer and axillary lymphadenopathy Radiology Case Reports Ovarian carcinoma Cancer of unknown primary syndrome CUP syndrome Diagnostic imaging Axillary lymph nodes Breast cancer |
| title | Unexpected encounters: The surprising link between ovarian cancer and axillary lymphadenopathy |
| title_full | Unexpected encounters: The surprising link between ovarian cancer and axillary lymphadenopathy |
| title_fullStr | Unexpected encounters: The surprising link between ovarian cancer and axillary lymphadenopathy |
| title_full_unstemmed | Unexpected encounters: The surprising link between ovarian cancer and axillary lymphadenopathy |
| title_short | Unexpected encounters: The surprising link between ovarian cancer and axillary lymphadenopathy |
| title_sort | unexpected encounters the surprising link between ovarian cancer and axillary lymphadenopathy |
| topic | Ovarian carcinoma Cancer of unknown primary syndrome CUP syndrome Diagnostic imaging Axillary lymph nodes Breast cancer |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324004965 |
| work_keys_str_mv | AT marinabalbino unexpectedencountersthesurprisinglinkbetweenovariancancerandaxillarylymphadenopathy AT federicamasino unexpectedencountersthesurprisinglinkbetweenovariancancerandaxillarylymphadenopathy AT manuelamontatore unexpectedencountersthesurprisinglinkbetweenovariancancerandaxillarylymphadenopathy AT francescaannacarpagnano unexpectedencountersthesurprisinglinkbetweenovariancancerandaxillarylymphadenopathy AT giuseppeguglielmi unexpectedencountersthesurprisinglinkbetweenovariancancerandaxillarylymphadenopathy |