IMR Press / EJGO / Volume 29 / Issue 2 / pii/1630995401383-261264649

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report
Fallopian tube cancer associated with paraneoplastic dermatomyositis - asymptomatic multivisceral exacerbated dermatomyositis mimicking recurrent widespread malignant disease: case report
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1 Department of Obstetrics and Gynecology, Innsbruck Medical University
2 Department of Internal Medicine, Division of Hematology and Oncology, Innsbruck Medical University
3 Department of Dermatology, Innsbruck Medical University (Austria)
Eur. J. Gynaecol. Oncol. 2008, 29(2), 168–170;
Published: 10 April 2008

Objective: To report an uncommon case of a recurrent episode of primarily paraneoplastic dermatomyositis which was completely disconnected from the initially triggering malignancy and manifested as a silent pure multivisceral exacerbation. Case: A 70-yearold woman presented with a pure multivisceral episode of dermatomyositis without characteristic musculo-cutaneous symptoms one year after successful treatment of fallopian tube carcinoma with complete resolvement of a concomittant paraneoplastic dermatomyositis. The uncommon manifestation of recurrent dermatomyositis involving the lungs, spleen and liver, both adrenal glands and abdominal lymph nodes, mimicked a highly disseminated recurrence of the fallopian tube cancer. Physicians participating in the interdisciplinary tumor board were misled to opt for reinductive chemotherapy. Only histologic diagnosis obtained from multiple biopsies uncovered the inflammatory nature of the disease and spared the patient unneeded chemotherapy. Conclusion: Asymptomatic multivisceral dermatomyositis may mimic metastatic spread of the initially underlying malignancy and may misdirect therapeutic strategies towards inadequate antineoplastic treatment.
Carcinoma of the fallopian tube
Paraneoplastic disease
Metastatic disease
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