Ischemic stroke with concomitant clear cell carcinoma of the ovary:A case report and review of literature  

作　　者：Wing Yu Sharon Siu Dah-Ching Ding 

机构地区：[1]Department of Obstetrics and Gynecology,Hualien Tzu Chi Hospital,Hualien 970,Taiwan [2]Department of Obstetrics and Gynecology,Hualien Tzu Chi Hospital,Buddhist Tzu Chi Medical Foundation,Tzu Chi University,Hualien 970,Taiwan [3]Institute of Medical Sciences,Tzu Chi University,Hualien 970,Taiwan

出　　处：《World Journal of Clinical Cases》2024年第20期4397-4404,共8页世界临床病例杂志

摘　　要：BACKGROUND Ischemic stroke is a rare event associated with an elevated risk of blood clot formation owing to an underlying malignancy.Herein,we present a case of ovarian carcinoma that led to cerebral infarction.CASE SUMMARY A 43-year-old woman experienced sudden onset right-sided paralysis and difficulty speaking two days after discovery of a large ovarian tumor measuring approximately 14 cm,which was suspected to be malignant.Further examination revealed left middle cerebral artery infarction.The patient had a history of hypertension and adenomyosis.Following stabilization with heparin treatment and vital signs management,the patient underwent debulking surgery,including total hysterectomy,bilateral salpingo-oophorectomy,omentectomy,and bilateral pelvic and para-aortic lymph node dissection.The final diagnosis was clear cell carcinoma of the right ovary(stage IA).Subsequently,the patient completed six rounds of adjuvant chemotherapy while simultaneously undergoing rehabilitation.Presently,the patient is able to walk independently,although she still experiences aphasia.CONCLUSION Prompt medical intervention and interdisciplinary care are crucial in the setting of incidental findings such as a large ovarian tumor.

关 键 词：Ovarian cancer Ischemic stroke Coagulation INFARCTION Case report 

分 类 号：R737.11[医药卫生—肿瘤]