title: Paraneoplastic Neurological Syndrome in Fallopian Tube Cancer.
abstract: We report on a rare case of paraneoplastic syndrome (PS) that was discovered on completion of diagnostic work-up to be an undifferentiated fallopian tube carcinoma. A 49-year-old Caucasian woman was admitted to neurology with vertigo, gait ataxia and dysarthria, transient ischaemic attack (TIA) and stroke were quickly excluded. Indicative for the further diagnosis of a paraneoplastic syndrome was the identification of onconeuronal antibodies the detection of which can be associated with certain tumour entities. The strongly positive anti-Yo antibody that is formed above all by breast and lung cancers as well as ovarian cancer led to a corresponding staging. The tumour markers CEA, CA 125 and CA 15-3 were in the normal ranges. Mammography and thorax CT were also unremarkable; on transvaginal sonography the internal genitals were inconspicuous except for a follicular cyst on the left. On abdominal CT the only conspicuous finding was a 1.5 cm ovarian cyst. After consensual agreement a bilateral laparoscopic adenexectomy was performed but with unremarkable abdominal findings. The histological examination confirmed a right-sided undifferentiated tubal carcinoma with the provisional classification FIGO IIA. After a stage-related staging operation, the final classification was found to be the FIGO-IIIC stage on account of positive retroperitoneal lymph nodes. Thus adjuvant chemotherapy with 6 cycles of carboplatin and paclitaxel was performed. By means of a timely, guideline-conform therapy for tubal carcinoma, the neurological symptoms and, above all, the dysarthria could be improved after 10 months.
authors.affiliation: Gynäkologie und Geburtshilfe, SanaKlinikum Offenbach, Offenbach.
authors.forename: E
authors.initials: E
authors.lastname: Maas
authors.affiliation: Neurologie, SanaKlinikum Offenbach, Offenbach.
authors.forename: T
authors.initials: T
authors.lastname: Skoberne
authors.affiliation: Gynäkologie und Geburtshilfe, SanaKlinikum Offenbach, Offenbach.
authors.forename: A
authors.initials: A
authors.lastname: Werner
authors.affiliation: Pathologie, SanaKlinikum Offenbach, Offenbach.
authors.forename: S
authors.initials: S
authors.lastname: Braun
authors.affiliation: Gynäkologie und Geburtshilfe, SanaKlinikum Offenbach, Offenbach.
authors.forename: C
authors.initials: C
authors.lastname: Jackisch
keywords: onconeuronal antibodies; paraneoplastic syndrome; tubal carcinoma