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High-grade endometrial cancer presents with malignancy-associated disseminated intravascular coagulation: A case
Jennifer Hansen1, Andreea Dinicu1, Johanna Kelley1
1Obstetrics and Gynecology Institute, Department of Gynecologic Oncology, Cleveland Clinic, 9500 Euclid Avenue, Mail Code A81, Cleveland, OH 44195, United States.
Abstract:
Malignancy-associated DIC is uncommon and when it does occur, is often associated with hematologic malignancies rather than solid tumors. In this case, we describe an unusual case when a patient with advanced stage high-grade endometrial adenocarcinoma presented to care with vision loss and deep vein thrombosis, found to be in disseminated intravascular coagulation (DIC). The patient suffered many complications from her DIC, which was briefly managed with systemic therapy for her underlying malignancy but ultimately led to her death. DIC has been reported in the literature rarely for gynecologic malignancies, and never as presenting symptom for high-grade endometrial adenocarcinoma.
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