[A case of disseminated intravascular coagulation--a paraneoplastic manifestation of a borderline ovarian tumor].
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A right adnexal fibromyxoma in a 24-year-old woman presented as a paraneoplastic syndrome with disseminated intravascular coagulation, menometrorrhagia, and galactorrhea, which resolved after surgical treatment.
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Abstract
A 24-year-old-woman was admitted because of disseminated intravascular coagulation (DIC), menometrorrhagia and galactorrhea. The investigations performed showed a right adnexal tumor after the equilibration of DIC with plasma substitution, we performed a right adnexectomy with limited excision of peritoneal. The pathologic examination showed a focus of endometriosis on the right ovary who had a polycystic look and a right adnexal fibromyxoma (premalignant lesion). The post operative evolution was good, with the loss of entire onco-hemato-endocrinologic picture. We describe the interrelation between DIC (paraneoplastic syndrome), menometrorrhagia and galactorrhea, the pathologic hypothesis and the treatment of DIC.
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