International Journal of Clinical Oncology

, Volume 16, Issue 4, pp 447–449

Successful surgical treatment and chemotherapy for ovarian cancer in a patient with idiopathic thrombocytopenic purpura

  • Kimio Wakana
  • Toshiharu Yasugi
  • Yurie Nako
  • Tomomi Nei
  • Yoshikazu Ozaki
  • Katsumi Mizutani
Case Report

DOI: 10.1007/s10147-010-0149-3

Cite this article as:
Wakana, K., Yasugi, T., Nako, Y. et al. Int J Clin Oncol (2011) 16: 447. doi:10.1007/s10147-010-0149-3

Abstract

Ovarian clear cell adenocarcinoma (OCCA) is known to have a worse prognosis than ovarian serous adenocarcinoma due to its poor response to conventional platinum-based chemotherapy. Idiopathic thrombocytopenic purpura (ITP), which usually reveals severe thrombocytopenia, is a common autoimmune disorder. However, to date very few cases of ovarian cancer associated with ITP have been reported in the literature. We report a case of a 57-year-old woman who developed OCCA 14 years after the diagnosis of ITP. The patient presented with abdominal distention and mild tenderness. We performed the operation with high-dose immunoglobulin therapy preoperatively, and diagnosed OCCA. Postoperatively, six cycles of cytotoxic chemotherapy with irinotecan hydrochloride plus cisplatin were performed every 4–5 weeks without thrombocytopenia. We conclude that combination chemotherapy with irinotecan hydrochloride plus cisplatin is useful for a case of OCCA associated with ITP.

Keywords

Ovarian cancer Idiopathic thrombocytopenic purpura Chemotherapy 

Copyright information

© Japan Society of Clinical Oncology 2010

Authors and Affiliations

  • Kimio Wakana
    • 1
  • Toshiharu Yasugi
    • 1
  • Yurie Nako
    • 1
  • Tomomi Nei
    • 1
  • Yoshikazu Ozaki
    • 1
  • Katsumi Mizutani
    • 1
  1. 1.Department of GynecologyTokyo Metropolitan Cancer and Infectious Diseases Center, Komagome HospitalTokyoJapan

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