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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Asymptomatic Primary Fallopian Tube Cancer: An Unusual Cause of Axillary Lymphadenopathy
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Asymptomatic Primary Fallopian Tube Cancer: An Unusual Cause of Axillary Lymphadenopathy

机译：无症状原发性输卵管癌：腋窝淋巴结肿大的不寻常原因

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Primary Fallopian tube malignancy is considered a rare disease and is often mistaken histologically and clinically for ovarian cancer. The etiology is poorly understood, and it typically presents at an advanced disease stage, as symptoms are often absent in the initial period. As a result, primary fallopian tube cancer is generally associated with a poor prognosis. We present the case of a 45-year-old female who presents with a 5-day history of left axillary swelling and a normal breast examination. Mammogram and biopsy of a lesion in the left breast revealed a fibroadenoma but no other abnormalities. Initial sampling of the axillary node was suspicious for a primary breast malignancy, but histology of the excised node refuted this. PET-CT showed an area of high uptake in the right pelvis, and a laparoscopy identified a tumor of the left fallopian tube which was subsequently excised and confirmed as a serous adenocarcinoma.
机译：原发性输卵管恶性肿瘤被认为是一种罕见的疾病，在组织学和临床上常被误认为是卵巢癌。病因学知之甚少，通常在疾病晚期就出现，因为在初期通常没有症状。结果，原发性输卵管癌通常与不良预后有关。我们介绍的是一名45岁女性，该患者有5天左腋窝肿胀病史和正常乳房检查。乳房X光检查和左乳房病变活检显示纤维腺瘤，但无其他异常。腋窝淋巴结的最初采样可疑为原发性乳腺恶性肿瘤，但切除的淋巴结的组织学对此予以反驳。 PET-CT显示右骨盆高摄取区域，腹腔镜检查发现左输卵管肿瘤，随后切除该肿瘤并确认为浆液性腺癌。

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