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Fluid biopsy for circulating tumor cells in an occult ovarian cancer patient exhibiting bilateral supraclavicular lymph node metastases: A case report

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机构: [1]Department of Otolaryngology‑Head and Neck Surgery, Beijing Tongren Hospital, Key Laboratory of Otolaryngology‑Head and Neck Surgery, Ministry of Education, Capital Medical University, Beijing 100730, P.R. China
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关键词: head and neck cancer unknown primary tumor supraclavicular lymph node metastases ovarian cancer circulating tumor cells

摘要:
Metastases to the supraclavicular region usually originate from the head and neck or from infraclavicular tumors. Ovarian primaries of supraclavicular metastases are extremely rare. The present study reports the case of a 60-year-old patient with a bilateral supraclavicular mass that was diagnosed as a poorly-differentiated squamous cell carcinoma of unknown primary, following a fine-needle aspiration biopsy (FNAB) and comprehensive clinical investigation. The analysis of a peripheral blood sample using the CellSearch system revealed the presence of circulating tumor cells (CTCs) that were positive for epithelial cell adhesion molecule (EpCAM) and cytokeratin (CK) expression. Since EpCAM is usually expressed in adenocarcinoma, an excisional biopsy of the right supraclavicular lymph node was performed. The patient was diagnosed with occult ovarian low-grade serous carcinoma by immunohistochemistry. To the best of our knowledge, this is the first report to demonstrate that CTCs may be detected in the peripheral blood of a patient with cancer of unknown primary (CUP) by using the CellSearch system. A literature review was performed to analyze the diagnostic procedures of CUP metastatic to the cervical lymph nodes and the clinical features of CTCs.

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出版当年[2012]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
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出版当年[2011]版:
Q4 ONCOLOGY
最新[2023]版:
Q3 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2011版] 出版当年五年平均 出版前一年[2010版] 出版后一年[2012版]

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第一作者机构: [1]Department of Otolaryngology‑Head and Neck Surgery, Beijing Tongren Hospital, Key Laboratory of Otolaryngology‑Head and Neck Surgery, Ministry of Education, Capital Medical University, Beijing 100730, P.R. China
通讯作者:
通讯机构: [1]Department of Otolaryngology‑Head and Neck Surgery, Beijing Tongren Hospital, Key Laboratory of Otolaryngology‑Head and Neck Surgery, Ministry of Education, Capital Medical University, Beijing 100730, P.R. China [*1]Department of Otolaryngology‑Head and Neck Surgery, Beijing Tongren Hospital, Key Laboratory of Otolaryngology‑Head and Neck Surgery, Ministry of Education, Capital Medical University, No. 1 Dongjiaomin Xiang, Dongcheng, Beijing 100730, P.R. China
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