دورية أكاديمية

Raynaud's phenomenon as a presenting manifestation of ovarian cancer: A case report.

التفاصيل البيبلوغرافية
العنوان: Raynaud's phenomenon as a presenting manifestation of ovarian cancer: A case report.
المؤلفون: Matanes, Emad, Boulus, Sari, Lauterbach, Roy, Matanis, Jawad, Reiss, Ari, Amit, Amnon
المصدر: Journal of Obstetrics & Gynaecology Research; Feb2021, Vol. 47 Issue 2, p855-859, 5p
مصطلحات موضوعية: ISCHEMIA treatment, ASCITES, BIOPSY, COMBINED modality therapy, COMPUTED tomography, CYANOSIS, CYTOLOGY, DYSPNEA, FINGERS, MULTIPLE organ failure, OMENTUM, OVARIAN tumors, PARANEOPLASTIC syndromes, PLEURAL effusions, RAYNAUD'S disease, TUMOR antigens, TREATMENT effectiveness, SYMPTOMS
مستخلص: Raynaud's phenomenon (RP) is characterized by episodes of vasospasm affecting the hands and feet. Paraneoplastic RP, as a single presenting symptom is rarely seen in cases of ovarian cancer (OC), and thus may lead to misdiagnosis. We present a case of paraneoplastic RP in a patient with high‐grade serous OC. A 66‐year‐old female presented with dyspnea and bilateral peripheral cyanosis involving her fingers. CA125 was elevated (423 U/mL). CT revealed a pleural effusion on the left side, suspicious omental lesions and ascites. Omental biopsy and pleural cytology demonstrated high‐grade serous OC. Neoadjuvant chemotherapy (carboplatin/paclitaxel) resulted in objective improvement in finger ischemia and complete regression of vasospastic features. However, the patient's disease was refractory to post‐surgical treatment and eventually she deceased of multiple organ failure. To conclude, RP may be a presenting symptom of OC. It is important to determine the underlying disease and develop an effective treatment strategy. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:13418076
DOI:10.1111/jog.14609