Cardiophrenic angle lymph node metastasis from a fallopian primary tumor

Eguchi, Takashi; Takasuna, Keiichiro; Nakayama, Ataru; Ueda, Noritane; Yoshida, Kazuo

doi:10.1177/0218492311422756

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…The presence of lymph node metastases will upstage a tumor, adversely affect prognosis, and influence treatment choice [ 1 ]. Isolated CPLN metastases are relatively rare [ 3 ]. While CPLN may be seen in normal subjects, they are usually less than two in number and measure less than 5 mm in diameter [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Cryoablation of cardiophrenic angle lymph node metastases: a case report

Luo

Long

et al. 2017

J Med Case Reports

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BackgroundCardiophrenic angle lymph node metastases are relatively rare. Surgical resection is the main treatment for cardiophrenic angle lymph node metastasis, but it is not always possible.Case presentationHere, we report our initial experience with cryoablation of a cardiophrenic angle lymph node metastasis from liver cancer. As the cardiophrenic angle lymph node metastasis was located close to the heart, about 200 mL of 0.9% saline was injected into the pericardium to separate the heart from the target area. The cardiophrenic angle lymph node metastasis was successfully ablated, without any complications.ConclusionsCryoablation may be a suitable alternative treatment for cardiophrenic angle lymph node metastasis.

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Section: Discussionmentioning

confidence: 99%

Cryoablation of cardiophrenic angle lymph node metastases: a case report

Luo

Long

et al. 2017

J Med Case Reports

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“…They highlighted the importance of comprehensive paraaortic lymphadenectomy for accurate staging of primary fallopian tube cancer. There have been some reports of distant isolated metastasis from fallopian tube cancer such as in the supraclavicular lymph node, cardiophrenic angle lymph node, and sigmoid colon [19][20][21]. It is important to bear in mind that distant metastasis may occur after treatment of fallopian tube cancer.…”

Section: Discussionmentioning

confidence: 99%

A case of recurrent fallopian tube carcinoma in situ with para-aortic lymph node metastasis

et al. 2013

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We encountered a case of recurrent fallopian tube carcinoma in situ with para-aortic lymph node metastasis 9 months after the first surgery. The patient presented with genital bleeding, and endometrial cytology revealed extrauterine malignant cells. However, endometrial biopsy and imaging modalities could not detect any abnormalities. We performed a total abdominal hysterectomy and bilateral salpingo-oophorectomy after obtaining the patient's consent. Histopathological examination revealed atypical cells in the fimbrial portion of the fallopian tube. A diagnosis of fallopian tube carcinoma in situ was made. No further adjuvant treatment was administered. Nine months later, fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography revealed pathologic activity in the para-aortic lymph node and CA125 elevation. A diagnosis of metastatic adenocarcinoma was established on the basis of histological examination of a frozen section. The patient underwent para-aortic and pelvic lymph node dissection and omentectomy. The pathology report revealed metastasis to 3 of 69 lymph nodes; however, peritoneal cytology was negative for cancer. To the best of our knowledge, this is the first reported case of recurrent fallopian tube carcinoma in situ.

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Detection of Metastatic Disease in Cardiophrenic Lymph Nodes: FDG PET/CT Versus Contrast-Enhanced CT and Implications for Staging and Treatment of Disease

Farmakis¹,

Vejdani²,

Muzaffar³

et al. 2013

Front. Oncol.

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Objective: To determine whether FDG PET/CT was more sensitive than CT in detecting metastatic disease in the cardiophrenic space and whether the presence of disease in this location would change the staging and clinical management.Materials and Methods: About 1200 PET/CT scans were retrospectively reviewed over 20 months for the presence of FDG-avid cardiophrenic lymph nodes. The SUVmax was used to quantify the metabolic activity in each of the lymph nodes. The radiographic data was used for correlation. A retrospective review of diagnostic CT reports performed within a 1-month period of time of the PET/CT in the same subset of patients determined whether cardiophrenic lymph nodes were mentioned.Results: About 9 (0.8%) of the 1200 studies were found to have FDG-avid cardiophrenic lymph nodes (four males and five females with a mean age of 55 years; range 7–69, median 59). The mean SUVmax was 2.4 (range 1.2–7.9; median 1.9). Only three of the patients were found to have suspicious lymph nodes on CT. The presence of cardiophrenic lymph nodes had the potential to change the staging and/or management in three of the patients.Conclusion: PET/CT is more accurate in the detection of pathologic cardiophrenic lymph nodes than CT, especially when they are subcentimeter in size. When present, staging and/or management was potentially affected in 33%. Therefore, these nodes should be included in the TNM staging classification.

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Cardiophrenic angle lymph node metastasis from a fallopian primary tumor

Cited by 3 publications

References 8 publications

Cryoablation of cardiophrenic angle lymph node metastases: a case report

Cryoablation of cardiophrenic angle lymph node metastases: a case report

A case of recurrent fallopian tube carcinoma in situ with para-aortic lymph node metastasis

Detection of Metastatic Disease in Cardiophrenic Lymph Nodes: FDG PET/CT Versus Contrast-Enhanced CT and Implications for Staging and Treatment of Disease

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