title: Dermatomyositis as a presenting symptom of ovarian cancer.
abstract: BACKGROUND
  Among gynecologic malignancies, the coexistence of ovarian cancer and dermatomyositis is most frequent.
  
  
  METHODS
  A 75-year-old woman presented with dermatomyositis, and a search for underlying malignancy found an otherwise asymptomatic ovarian carcinoma with para-aortic lymph node metastases. After resection and chemotherapy, the muscle weakness and skin lesions relating to dermatomyositis began to improve.
  
  
  CONCLUSIONS
  Dermatomyositis can be the only presenting symptom of ovarian cancer, so an evaluation for suspected underlying malignancy should be done.
authors.affiliation: Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Ohio 45267-0526, USA.
authors.forename: K
authors.initials: K
authors.lastname: Nakanishi
authors.forename: H
authors.initials: H
authors.lastname: Cualing
authors.forename: N
authors.initials: N
authors.lastname: Husseinzadeh
mesh_terms: D000368:Aged; D003882:Dermatomyositis / Q000473:pathology*; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000473:pathology*; D010257:Paraneoplastic Syndromes / Q000473:pathology*