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A Recurrence of Ovarian Carcinoma Presenting as Only Axillary Lymphatic Metastasis: A Case Report
우상욱 한국유방암학회 2008 Journal of breast cancer Vol.11 No.2
Ovarian carcinoma usually metastasizes to the peritoneal cavity and the regional lymph nodes. While the peritoneal metastases if often widespread, metastases beyond the peritoneal cavity including axillary lymph nodes are uncommon. A recurrence of ovarian carcinoma in only the axillary lymph node is also a rare case. We report here on an axillary lymphatic metastasis as a result of recurrence of ovarian carcinoma in a 43-year old woman. Six years after the initial operation for ovarian carcinoma, multiple lymphatic metastases in the right axilla were noted as a palpable axillary masses. There are few previous reports about ovarian carcinoma that metastatized to the axillary lymph nodes. It must be differentiated from breast carcinoma because the treatment and prognosis of metastatic ovarian carcinoma differ from those of primary breast carcinoma.
우상욱,김상욱,김정한,남석진,양정현,Sang-Uk Woo,Sang-Wook Kim,Jeong-Han Kim,Seok-Jin Nam,and Jung-Hyun Yang,F,A,C,S 대한갑상선-내분비외과학회 2004 The Koreran journal of Endocrine Surgery Vol.4 No.1
Purpose: Most patients with thyroid cancer have a good prognosis. However, it has been difficult to study a large number of patients succumbing to thyroid carcinoma due to the low mortality rate and the long follow-up period associated with differentiated thyroid cancer. Therefore, we evaluated characteristics of metastasis and deaths, sites of metastasis, difference of survival from pathologic classification and treatments and the cause of deaths. Methods: From June 1995 to December 2003, fifty-four patients who died due to distant metastasis and recurrence of thyroid cancer in Samsung Seoul Medical Center were analyzed. Results: We analyzed cause of death in 55 fatal cases. Single fatal conditions could not be specified in 13 patients. In the remaining 42 patients, respiratory failure (57.1%) was the most common specific fatal condition, followed by airway obstruction (26.2%), renal failure (7.1%) and sepsis (7.1%). According to histologic subtype, overall survival and relapse survival were statistically significant (P<0.005). However, No significant difference in disease free survival was observed (P=0.09).Conclusion: Early diagnosis and suitable treatment were also important factors for thyroid cancer. There was shorter relapse survival length in papillary cancers than that of follicular cancers. Anaplastic cancers had a poorer survival. We couldn't find difference of relapse survival result from the treatments of metastatic thyroid cancer. (Korean J Endocrine Surg 2004;4:21-25)