A rare case of recurrent ovarian cancer presenting as a round ligament metastasis

World Journal of Surgical Oncology

Case Report

Takahiro Kasamatsu¹  Shinichi Togami¹  Mitsuya Ishikawa¹  Shun-ichi Ikeda¹  Tomoyasu Kato¹  Takashi Onda¹  Takateru Oi¹ 

[1] Division of Gynecology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan;

关键词: diagnosis;    inguinal mass;    ovarian cancer;    recurrence;    round ligament;   

DOI  :  10.1186/1477-7819-9-144

 received in 2011-08-19, accepted in 2011-11-07,  发布年份 2011

来源: Springer

【 摘 要 】

We report a rare case of recurrent ovarian cancer presenting as a round ligament metastasis. A 44-year-old woman presented with a lower abdominal mass. Computed tomography showed a pelvic mass. Primary surgery was performed. A histopathological examination showed an ovarian serous adenocarcinoma of Stage IIIb. The patient received 6 cycles of paclitaxel and carboplatin. Almost 2 years after the initial operation, the patient noticed a left inguinal mass. Computed tomography showed a left inguinal mass, 18 mm in size. An excisional biopsy was performed and the tumor was found to originate in the left round ligament. A histopathological examination showed serous adenocarcinoma and there was no evidence of lymph node tissue. Recurrence of ovarian cancer in the round ligament is extremely rare. This unique case suggests, however, that the round ligament in rare cases may be a recurrence site for ovarian cancer, and that accurate differentiation including confirmation by diagnostic imaging and excisional biopsy, is necessary for a definitive pathological diagnosis.

【 授权许可】

CC BY   
© Togami et al; licensee BioMed Central Ltd. 2011