IMR Press / EJGO / Volume 42 / Issue 2 / DOI: 10.31083/j.ejgo.2021.02.2094
Open Access Review
Recurrent ovarian cancer with supraclavicular lymph node metastasis: a report of two cases and literature review
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1 Department of General Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, 102218 Beijing, China
2 Department of Gynaecology and Obstetrics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, 102218 Beijing, China
Eur. J. Gynaecol. Oncol. 2021, 42(2), 207–212; https://doi.org/10.31083/j.ejgo.2021.02.2094
Submitted: 22 March 2020 | Revised: 4 June 2020 | Accepted: 17 June 2020 | Published: 15 April 2021
Abstract

Recurrent ovarian cancer is commonly associated with lymphatic metastasis, however, supraclavicular lymph node is a rare site for metastasis. Few studies have investigated whether local debulking surgery would benefit patients with supraclavicular lymph node metastasis. We report two such cases, review the literature and discuss the potential for local debulking surgical treatment for this rare scenario. Both cases were diagnosed with recurrent ovarian cancer, with the first having left supraclavicular lymph node metastasis, while the second had right supraclavicular lymph node metastasis. Cervical lymphadenectomy was performed to relieve local symptoms in both cases followed by chemotherapy. The first case died of hepatic hilar metastasis 6 months after the surgery while the second case has to date (January 2020) survived without any recurrence 12 months postoperatively. A comprehensive search in the PubMed, Embase, and Cochrane databases was performed. According to the limited study and our cases, we conclude the lymphanectomy appears to provide potential benefit to patients with oligometastasis like right supraclavicular lymph node metastasis.

Keywords
Ovarian cancer
Surgery
Supraclavicular lymph node
Figures
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