Inguinal node metastasis as the initial presentation of primary fallopian tube cancer

Background. An initial presentation of inguinal metastasis in primary fallopian tube cancer in an asymptomatic patient is uncommon. All previously described palpable lymphadenopathies in fallopian tube cancer have been associated with widely disseminated intra-abdominal disease. Case. This is the first case of inguinal node metastasis from fallopian tube cancer in a 72-year-old asymptomatic patient with a previous hysterectomy with no evidence of infra-abdominal disease. The metastasis was detected in the contralateral inguinal area. Conclusion. Fallopian tube cancer can present with inguinal metastasis, although this is an uncommon occurrence. A high index of suspicion must be maintained, especially in asymptomatic patients with negative imaging studies. (c) 2006 Elsevier Inc. All rights reserved.