Cancer-associated retinopathy in a patient with advanced epithelial ovarian carcinoma

Joseph P. Harmon, Valerie A. Purvin, John Guy, Natalie Aptsiauri, Gregory P. Sutton

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Background. Paraneoplastic phenomena, such as retinopathy, may herald an unsuspected gynecologic malignancy. Case. A 75-year-old woman presented to a neuro-ophthalmologist with abrupt onset of unilateral visual loss. A diagnosis of branch retinal artery occlusion was made and she was treated with aspirin. An echocardiogram subsequently revealed atrial dilation and she was placed on coumadin therapy. Her vision worsened and a cancer-associated retinopathy was entertained. A serum cancer-associated retinopathy antibody was detected; subsequent computed tomographies of the abdomen and pelvis revealed findings consistent with a primary ovarian carcinoma. Conclusion. Patients with unexplained ophthalmologic symptoms may harbor an underlying gynecologic cancer.

Original languageEnglish (US)
Pages (from-to)430-432
Number of pages3
JournalGynecologic oncology
Volume73
Issue number3
DOIs
StatePublished - Jun 1999
Externally publishedYes

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

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