European journal of gynaecological oncology · 1994
Retrograde lymphatic metastasis of an ileal carcinoid.
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Geisler J P, Lee T H, Cudahy T J, Penman J, Geisler H E
Аннотация
BACKGROUND: Carcinoid tumors are uncommon tumors, derived from Kulchitsky cells, which generally follow a slow, orderly metastatic spread. They are often associated with second primary malignant neoplasms either synchronously or metachronously.
CASE REPORT: A 62 year old white female with a history of severe dysplasia of the vulva and carcinoid of the distal ileum presented with a presumed vulvar malignancy by biopsy from a referring hospital. She did not have symptoms of the carcinoid syndrome. Wide vulvar excision revealed chronic inflammation without residual tumor. Bilateral superficial and deep inguinal lymphadenectomy revealed metastatic carcinoid.
CONCLUSION: The inguinal lymph nodes should be considered a site of distant metastasis for carcinoid tumors of the distal ileum.
CASE REPORT: A 62 year old white female with a history of severe dysplasia of the vulva and carcinoid of the distal ileum presented with a presumed vulvar malignancy by biopsy from a referring hospital. She did not have symptoms of the carcinoid syndrome. Wide vulvar excision revealed chronic inflammation without residual tumor. Bilateral superficial and deep inguinal lymphadenectomy revealed metastatic carcinoid.
CONCLUSION: The inguinal lymph nodes should be considered a site of distant metastasis for carcinoid tumors of the distal ileum.