OVARIAN CARCINOMA WITH AXILLARY NODAL RECURRENCE-AN UNUSUAL METASTATIC PATHWAY

Carcinoma ovary is the fourth most common malignancy among women in India. Most patients present with locally advanced disease, where cytoreductive surgery followed by adjuvant chemotherapy is standard of care. Ovarian cancer recurrences are predominantly intraabdominal and managed by chemotherapy and salvage surgery. Distant metastasis is found in lung and paraaortic nodes. Metastasis to the axillary nodes is unusual and requires evaluation to rule out coexisting breast primary. We present a case of recurrent ovarian cancer with isolated axillary nodal metastasis. Case report-A 47 year old lady presented in 2011 after suboptimal surgery for a pelvic mass. She was evaluated and diagnosed as stage IIIc Grade 2, papillary serous cystadenocarcinoma Ovary for which she received six cycles of chemotherapy with Carboplatin and Paclitaxel. On follow up she was found to have pelvic and para-aortic nodal recurrence in 2012.