Solitary axillary lymph nodal metastasis from primary ovarian cancer: An unusual presentation

Abstract

Background: The most common sites of visceral metastases in ovarian cancer are the liver and lungs, whereas the most frequent sites of lymph nodal involvement are abdominal, para-aortic, mediastinal, and pelvic nodes. Peripheral isolated lymph node metastasis is extremely rare. Case Report: This case represents an ovarian cancer with large metastasis to the right axillary mass. A 79-year-old female presented with a palpable and visibly enlarged mass. A neck lymph nodal mass was found on the CT scan with biopsy showing metastatic carcinoma with morphology and immunophenotype of ovarian primary tumor. Conclusions: Axillary metastasis secondary to ovarian carcinoma is an infrequent clinical entity.