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 investi
gated 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 metastat
ic inguinal lymphadenopathy, (C) 2001 Academic Press.