Ovarian cancer that later spread to an axillary lymph node

What happened, in summary

A 69-year-old woman was diagnosed with advanced ovarian cancer after scans showed tumors involving both ovaries, abdominal lymph nodes, the omentum, and peritoneum. She received 3 cycles of chemotherapy, then underwent debulking surgery. Pathology showed an ovarian malignant mixed Müllerian tumor, also called ovarian carcinosarcoma, and the postoperative disease was classified as Stage III.

She completed 6 additional chemotherapy cycles and entered follow-up. More than 2 years later, imaging found an enlarged lymph node in the right armpit. Breast imaging was clear, and removal of the node confirmed that the cancer had spread there from the ovary. This distant nodal recurrence made the disease Stage IV.

She received another 6 cycles of chemotherapy, with scans showing no visible disease afterward. In 2018, however, CA-125 rose and scans found multiple new peritoneal nodules. She underwent further chemotherapy, followed by a different chemotherapy combination and then an aromatase inhibitor.

Her disease remained stable through her last recorded visit in July 2019.