Advanced ovarian carcinoma presenting with a cerebrovascular accident.

Abstract:

:Ovarian carcinoma usually presents in an indolent manner, most often nonspecifically with complaints of abdominal pain or swelling, bloating, constipation, anorexia, early satiety, and evidence of ascites. We present a case of ovarian cancer with a cerebrovascular accident (CVA) as the presenting symptom, with minimal classic presenting signs and symptoms. The patient is a 43-year-old female with no cardiovascular risk factors who presented with a left parietal lobe infarct and advanced ovarian carcinoma. The patient underwent an extensive workup for the etiology of her CVA and possible hypercoagulation syndrome and eventually had surgical treatment. Ovarian carcinoma with a thromboembolic event as the initial presenting symptom is extremely rare. Although this patient did not appear to have hypercoagulability, consideration of this diagnosis should be given to patients presenting in this manner.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Shamonki MI,Squatrito RC,Welander CE

doi

10.1006/gyno.1998.5053

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

300-2

issue

2

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(98)95053-3

journal_volume

70

pub_type

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