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Published on: November 28, 2010
Dermatomyositis as a presenting symptom of ovarian cancer
K Nakanishi1, H Cualing, N Husseinzadeh
1Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Ohio 45267-0526, USA.
Background:
Among gynecologic malignancies, the coexistence of ovarian cancer and dermatomyositis is most frequent.
Case:
A 75-year-old woman presented with dermatomyositis, and a search for underlying malignancy found an otherwise asymptomatic ovarian carcinoma with para-aortic lymph node metastases. After resection and chemotherapy, the muscle weakness and skin lesions relating to dermatomyositis began to improve.
Conclusion:
Dermatomyositis can be the only presenting symptom of ovarian cancer, so an evaluation for suspected underlying malignancy should be done.
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