Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4397
Revised: May 13, 2024
Accepted: May 24, 2024
Published online: July 16, 2024
Processing time: 94 Days and 23.6 Hours
Ischemic stroke is a rare event associated with an elevated risk of blood clot formation owing to an underlying malignancy. Herein, we present a case of ovarian carcinoma that led to cerebral infarction.
A 43-year-old woman experienced sudden onset right-sided paralysis and difficulty speaking two days after discovery of a large ovarian tumor measuring approximately 14 cm, which was suspected to be malignant. Further examination revealed left middle cerebral artery infarction. The patient had a history of hypertension and adenomyosis. Following stabilization with heparin treatment and vital signs management, the patient underwent debulking surgery, including total hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and bilateral pelvic and para-aortic lymph node dissection. The final diagnosis was clear cell carcinoma of the right ovary (stage IA). Subsequently, the patient completed six rounds of adjuvant chemotherapy while simultaneously undergoing rehabilitation. Presently, the patient is able to walk independently, although she still experiences aphasia.
Prompt medical intervention and interdisciplinary care are crucial in the setting of incidental findings such as a large ovarian tumor.
Core Tip: We report a case of ischemic stroke associated with ovarian cancer. We have updated the information on ovarian cancer with concurrent ischemic stroke regarding its symptoms, signs, diagnosis, and treatment. Because of the rarity of combined ischemic stroke and ovarian cancer, we provide a strategy for diagnosing and treating this condition.