{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:10:16Z","timestamp":1756293016181,"version":"3.44.0"},"reference-count":23,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,1,25]]},"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>A 72-year-old woman noted a lump in her left supraclavicular fossa with no other symptoms or other signs on physical exam. A cervical biopsy indicated metastatic carcinoma. On the diagnostic workup: thoracic\u2013abdominal\u2013pelvic CT revealed augmented lymph nodes (LNs) in the retroperitoneum; Positron Emission Tomography\u2013CT showed uptake in the LNs described and in two small areas in the pelvis; blood tests showed elevated CA125 and CA72.4. Another biopsy, considering a para-aortic LN, proved to be metastasis of a high-grade serous carcinoma (HGSC). Gynaecological exam and pelvic imaging were innocent. Diagnostic laparoscopy, including hysterectomy and bilateral adnexectomy, was performed and anatomopathological examination confirmed a HGSC in the fallopian tube (FT), in a tiny focus of 1.5\u2009mm. The patient continued treatment with adjuvant chemotherapy. Literature review indicates that supraclavicular LN as first manifestation of FT carcinoma is not usual, and widespread lymphadenopathies with no macroscopic pelvic disease at diagnosis are even rarer.<\/jats:p>","DOI":"10.1136\/bcr-2021-247769","type":"journal-article","created":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T11:52:21Z","timestamp":1645703541000},"page":"e247769","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Fallopian tube tumour presenting as supraclavicular lymph node metastasis"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1807-5014","authenticated-orcid":false,"given":"Maria L\u00facia","family":"Moleiro","sequence":"first","affiliation":[{"name":"Departamento da Mulher e da Medicina Reprodutiva, Centro Materno Infantil do Norte Dr Albino Aroso - Centro Hospitalar Universit\u00e1rio do Porto, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helena","family":"Veloso","sequence":"additional","affiliation":[{"name":"Departamento da Mulher e da Medicina Reprodutiva, Centro Materno Infantil do Norte Dr Albino Aroso - Centro Hospitalar Universit\u00e1rio do Porto, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael Duarte","family":"Br\u00e1s","sequence":"additional","affiliation":[{"name":"Departamento da Mulher e da Medicina Reprodutiva, Centro Materno Infantil do Norte Dr Albino Aroso - Centro Hospitalar Universit\u00e1rio do Porto, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfredo","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Ginecologia, Instituto Portugu\u00eas de Oncologia do Porto Francisco Gentil EPE, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,2,24]]},"reference":[{"key":"2025082703355973000_15.2.e247769.1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12614"},{"key":"2025082703355973000_15.2.e247769.2","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1200\/JOP.18.00662","article-title":"Fallopian tube carcinoma","volume":"15","author":"Stasenko","year":"2019","journal-title":"J Oncol Pract"},{"key":"2025082703355973000_15.2.e247769.3","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1148\/rg.2015140086","article-title":"Pathways of lymphatic spread in gynecologic malignancies","volume":"35","author":"Pa\u00f1o","year":"2015","journal-title":"Radiographics"},{"key":"2025082703355973000_15.2.e247769.4","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.canlet.2020.02.017","article-title":"Fallopian tube initiation of high grade serous ovarian cancer and ovarian metastasis: mechanisms and therapeutic implications","volume":"476","author":"Bergsten","year":"2020","journal-title":"Cancer Lett"},{"key":"2025082703355973000_15.2.e247769.5","first-page":"505","article-title":"Ovarian cancer initially presenting with supra-clavicular lymph node metastasis: a case report","volume":"16","author":"Hong","year":"2018","journal-title":"Oncol Lett"},{"key":"2025082703355973000_15.2.e247769.6","unstructured":"Amin MB , Gress DM , Vega LRM . 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