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Paraparesis: a rare primary presentation of epithelial ovarian cancer
  1. R. Wuntkal*,
  2. A. Maheshwari*,
  3. S. Gupta and
  4. H. Tongaonkar*
  1. * Department of Surgical Oncology, Genito-Urinary and Gynecologic Oncology Services, Tata Memorial Hospital, Mumbai, India
  2. Department of Medical Oncology, Tata Memorial Hospital, Mumbai, India
  1. Address correspondence and reprint requests to: Dr Maheshwari Amita, MD, DNB, Department of Surgical Oncology, Genito-Urinary and Gynecologic Oncology Services, Tata Memorial Hospital, Dr E Borges Road, Parel, Mumbai 400 012, Maharashtra, India. Email: maheshwariamita{at}yahoo.com

Abstract

The usual modes of spread of ovarian epithelial carcinomas are by exfoliation of cells into the peritoneal cavity and lymphatic dissemination to retroperitoneal lymph nodes. Primary presentation of ovarian carcinoma due to neurologic symptoms of spinal cord compression is extremely rare. We report an unusual case of epithelial ovarian carcinoma who primarily presented with paraparesis due to spinal extradural metastasis.

  • extradural metastasis
  • ovarian cancer
  • paraparesis

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