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Trousseau’s syndrome associated with an ovarian borderline tumour
  1. Tsubasa Betsuyaku1,2,
  2. Toshinori Nishizawa3,4,
  3. Naofumi Higuchi5 and
  4. Satoki Misaka1
  1. 1St Luke's International University, Chuo-ku, Tokyo, Japan
  2. 2General Internal Medicine, Tenri Hospital, Tenri, Japan
  3. 3Internal Medicine, St Luke's International University, Chuo-ku, Japan
  4. 4Department of Family Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
  5. 5Gynecology and Obstetrics, St Luke's International University, Chuo-ku, Tokyo, Japan
  1. Correspondence to Dr Tsubasa Betsuyaku; tsubasa.1675{at}


A 71-year-old woman was admitted to our hospital because of sudden onset of weakness on the left side of her body. Her medical history was unremarkable, and on physical examination, hemiparesis and hyperreflexia on the left side were found. MRI of the brain showed multiple areas of restricted diffusion in both parietal lobes and in the cerebellum, consistent with embolic shower. Magnetic resonance angiography showed no abnormal findings. A contrast-enhanced CT scan revealed multiple pulmonary emboli. Abdominal MRI showed a 135 mm left ovarian tumour composed of a solid and a cystic component with liquid level formation. After a total hysterectomy and bilateral adnexectomy, the histopathology confirmed a seromucinous borderline tumour. Therefore, the patient was diagnosed with Trousseau’s syndrome associated with an ovarian seromucinous borderline tumour. To our knowledge, this is the first report mentioning a borderline ovarian tumour detected as Trousseau’s syndrome.

  • stroke
  • gynaecological cancer

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  • Contributors Conceptualisation: TB, TN and SM; Investigation: TB, TN and NH; Data collection: TB, TN and NH; Writing: TB, TN and NH; Supervision: SM; Project administration: TB, TN, NH and SM. All authors have read and agreed to the published version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.