Inguinal lymph node metastasis: an unusual presentation of fallopian tube carcinoma.

OBJECTIVES

Inguinal metastasis is a hitherto unreported presenting feature of fallopian tube adenocarcinoma.

CASE: We describe a case of a 69-year-old patient whose first manifestation of fallopian tube adenocarcinoma was an enlarged inguinal lymph node. This was excised and confirmed to be metastatic adenocarcinoma. She was investigated by diagnostic laparoscopy and subsequently underwent laparotomy with total abdominal hysterectomy, omentectomy, and pelvic and para-aortic lymph node dissection. All but two of the lymph nodes extirpated were negative.

CONCLUSIONS

Fallopian tube adenocarcinoma may rarely present with metastatic inguinal lymphadenopathy.