Inguinal Lymph Node Metastasis as the First Presentation of Endometrial Carcinoma

Endometrial adenocarcinoma is uncommon in fewer than 40-year-old people. the first commonsign and symptoms are abnormal vaginal bleeding and discharge. metastasis is occurred in thelate stage. here we present a 31-year-old nullipar woman who was admitted to surgical wardwith enlarged right inguinal lymphnode from one month ago. she had no history of previousmalignancy, infectious condition, vaginal bleeding, and discharge. abdominal sonography revealedno abnormality. she underwent surgical biopsy and metastatic adenocarcinoma most suspectedfrom genital tract was reported. based on pathological recommendation diagnostic curettage wasperformed and endometrial adenocarcinoma of conventional type as a first origin was confirmed.to our knowledge metastasis to inguinal lymph node as a first manifestation of endometrialcarcinoma is rare.